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Contact Information

LASZLO B FODOR, MD
1121 W VINE STREET
SUITE 15
LODI, CA95240
 Phone: 209-334-4416
 Fax: 209-371-0119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LASZLO B FODOR · (Male)

NPI Number 1306852082
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 08/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G23066
  • CA Medicaid 00G230660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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