Pamela Rae Lawrence Fanning, PA-C

NPI #1043438435 in Norwalk, Connecticut

Provider Information

NPI Number: 1043438435
Entity Type: Individual
Name: Pamela Rae Lawrence Fanning, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 23, 2007
Last Updated: Mar 7, 2016

Practice Location

Address: 24 STEVENS ST
City: Norwalk
State: Connecticut
ZIP Code: 06850-3852
Phone: (203) 852-2671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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