Fawson, Lorell B

Fawson, Lorell B is an individual health care provider with primary practice located at 3590 Harrison Blvd G1, Ogden UT 84403. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fawson, Lorell B can be contacted via phone (801) 627-2122.

Contact Information

Primary practice address
3590 Harrison Blvd G1 Ogden UT 84403
Fax: (801) 627-2125
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1030720501 Utah

Profile Details

NPI number 1144200155
LBN Legal business name Fawson, Lorell B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Dec 4th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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