Dr Lawrence Eugene Fong, DDS is a
Dentist - General Practice based in Fairfax, California. Dr Lawrence Eugene Fong is licensed to practice in California (license number 22068) and his current practice location is
61a Broadway Blvd, Fairfax, California. He can be reached at his office (for appointments etc.) via phone at
(415) 457-3377.
NPI number for Dr Lawrence Eugene Fong is 1366652117 and his current mailing address is 61a Broadway Blvd, Fairfax, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366652117.
Healthcare Provider's Profile
| Full Name | Dr Lawrence Eugene Fong |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 61a Broadway Blvd, Fairfax, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366652117
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Lawrence Eugene Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366652117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 22068 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence Eugene Fong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Lawrence Eugene Fong, DDS 61a Broadway Blvd, Fairfax, CA 94930-1653 Ph: (415) 457-3377 | Dr Lawrence Eugene Fong, DDS 61a Broadway Blvd, Fairfax, CA 94930-1653 Ph: (415) 457-3377 |
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