IndividualActive
Jody Laurence, DPM
NPI 1972685378 · Primary Podiatric Medicine Podiatrist · Roseville, CA
Provider details
- NPI number
- 1972685378
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E4155 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
5 Medical Plaza Dr Ste 110
Roseville, CA 95661-2866
Phone: (916) 483-1493
Fax: (888) 411-8530
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2033
Folsom, CA 95763-2033
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.