Individual provider · Type 1 NPI

John Kenneth Fortin Lauder

Other Technician · San Francisco, CA

NPI number 1225654528 Active

Practice location

795 Folsom St
San Francisco, CA 94107-1243

Fax (772) 675-9100

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1225654528

John Kenneth Fortin Lauder's National Provider Identifier is 1225654528, issued on Jun 22, 2020. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in San Francisco, CA. The record was last updated on Jun 23, 2020.