Individual provider · Type 1 NPI
Jody B. Laurence, DPM
Primary Podiatric Medicine Podiatrist · Roseville, CA
NPI number
1972685378
Active
Practice location
5 Medical Plaza Dr Ste 110
Roseville, CA 95661-2866
Fax (888) 411-8530
Mailing address
PO Box 2033
Folsom, CA 95763-2033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E4155 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Other primary podiatric medicine podiatrist providers in Roseville
About NPI 1972685378
Jody B. Laurence, DPM's National Provider Identifier is 1972685378, issued on Oct 19, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Roseville, CA. The record was last updated on Aug 1, 2016.