| Laszlo B Fodor, MD | |
|
1121 W Vine Street, Suite 15, Lodi, CA 95240 | |
| (209) 334-4416 | |
| (209) 371-0119 |
| Full Name | Laszlo B Fodor |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1121 W Vine Street, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306852082 | NPI | - | NPPES |
| 00G230660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G23066 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laszlo B Fodor, MD Po Box 15498, Sacramento, CA 95851 Ph: (559) 455-4000 | Laszlo B Fodor, MD 1121 W Vine Street, Suite 15, Lodi, CA 95240 Ph: (209) 334-4416 |
Maxine Louise Del Paine, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Grant W Rogero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine St, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Frank M Hartwick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Daniel W. Terry Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1121 W Vine Street, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 | |
Travers J Mcloughlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 S Ham Ln, Lodi, CA 95242 Phone: 209-365-1761 Fax: 209-333-3673 | |
Michael R Rigdon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1121 W Vine St, Suite 15, Lodi, CA 95240 Phone: 209-334-4416 Fax: 209-371-0119 |