DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODY B LAURENCE, DPM

Active Sole Proprietor

JODY B LAURENCE, DPM is a Radiology Podiatrist healthcare provider located in ROSEVILLE, California. NPI 1972685378 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · ROSEVILLE, CA

Registration Details

NPI Number
1972685378
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.846515993728 yrs)
Last Updated
Aug 1, 2016
License
E4155 (CA)
Sole Proprietor
Yes

Practice Information

Address
5 MEDICAL PLAZA DR STE 110
ROSEVILLE, CA, 956612866
Browse CA providers · Browse ZIP 95661
Phone
9164831493
Fax
8884118530
Primary Specialty
Radiology Podiatrist
213EP1101X

Other Radiology Podiatrist Providers in ROSEVILLE, CA

Name Credential NPI
DR. DOUGLAS HIGHT DPM 1821094475
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.