Dr Lorell Fawson DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

DR LORELL FAWSON DPM

Practice address

3590 Harrison Blvd
Suite G1
Ogden, UT 84403-2060

Phone

(801) 627-2122

Fax

(801) 627-2125

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Kersker

Title

Office Manager

Phone

(801) 627-2122

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1760664668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD SUITE G-1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-627-2122",
            "fax_number": "801-627-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD",
            "address_2": "SUITE G1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032060",
            "telephone_number": "801-627-2122",
            "fax_number": "801-627-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LORELL FAWSON DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KERSKER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-627-2122"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Ogden, UT
• Providers in Ogden, UT by specialty
• Foot Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.