person
Jody B Laurence, DPM
Primary Podiatric Medicine Podiatrist in Roseville, California
NPI 1972685378

Jody B Laurence is a Primary Podiatric Medicine Podiatrist based in Folsom, CA and is specialized in Primary Podiatric Medicine. Jody B Laurence practices in Roseville, CA and has the professional credentials of DPM. The NPI Number for Jody B Laurence is 1972685378 and holds a License No. E4155 (California).

The current practice location address for Jody B Laurence is 5 Medical Plaza Dr Ste 110, Roseville, CA and can be reached out via phone at 916-483-1493 and via fax at 888-411-8530. You can also correspond with Jody B Laurence through the mailing address at PO BOX 2033, FOLSOM, CA - 95763-2033 (mailing address contact number: 916-483-1493).

Location: 5 Medical Plaza Dr Ste 110, Roseville, CA, 95763-2033
person
Provider Profile Details
NPI Number
1972685378
Provider Name
Jody B Laurence
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5 Medical Plaza Dr Ste 110, Roseville, CA, 95763-2033
Phone Number
916-483-1493
Fax Number
888-411-8530
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E41550 05 CA
institution
Provider Business Practice Location Address Details
Address
5 Medical Plaza Dr Ste 110
City
State
Zip
95661-2866
Phone Number
916-483-1493
Fax Number
888-411-8530
person
Provider Business Mailing Address Details
Address
5 Medical Plaza Dr Ste 110
City
State
Zip
95661-2866
Phone Number
916-483-1493
Fax Number
888-411-8530
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
E4155 (California)
Definition
Definition to come...
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