IndividualActive
Lorell Fawson, DPM
NPI 1144200155 · Podiatrist · Ogden, UT
Provider details
- NPI number
- 1144200155
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 1030720501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
3590 Harrison Blvd
G1
Ogden, UT 84403
Phone: (801) 627-2122
Fax: (801) 627-2125
Approximate (ZIP-level) locationGet directions
Mailing address
3590 Harrison Blvd
Ogden, UT 84403
Registry dates
- Enumerated
- 2006-01-18
- Last updated
- 2007-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.