Organization
DR LORELL FAWSON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KERSKER (OFFICE MANAGER)
(801) 627-2122
Entity
Organization
Contact information
Practice address
3590 HARRISON BLVD, SUITE G1, OGDEN, UT 84403-2060
(801) 627-2122
(801) 627-2125
Mailing address
3590 HARRISON BLVD SUITE G-1, OGDEN, UT 84403
(801) 627-2122
(801) 627-2125
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
06/16/2008
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