person
Lawrence J Fogel, MD
Neurology Physician in San Luis Obispo, California
NPI 1649253162

Lawrence J Fogel is a Neurology Physician based in San Luis Obispo, CA and is specialized in Neurology. Lawrence J Fogel practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Lawrence J Fogel is 1649253162 and holds a License No. G18977 (California).

The current practice location address for Lawrence J Fogel is 628 California Blvd, San Luis Obispo, CA and can be reached out via phone at 805-543-1683 and via fax at 805-543-3516.

Location: 628 California Blvd, San Luis Obispo, CA, 93401-2542
person
Provider Profile Details
NPI Number
1649253162
Provider Name
Lawrence J Fogel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
628 California Blvd, San Luis Obispo, CA, 93401-2542
Phone Number
805-543-1683
Fax Number
805-543-3516
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120995100 01 CA US DEPT OF LABOR
00G189770 01 CA BLUE SHIELD
00G189770 05 CA
institution
Provider Business Practice Location Address Details
Address
628 California Blvd
City
State
Zip
93401-2542
Phone Number
805-543-1683
Fax Number
805-543-3516
person
Provider Business Mailing Address Details
Address
628 California Blvd
City
State
Zip
93401-2542
Phone Number
805-543-1683
Fax Number
805-543-3516
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
G18977 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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