MR. Richard Leo Fenton, LMP

NPI #1710112107 in Lacey, Washington

Provider Information

NPI Number: 1710112107
Entity Type: Individual
Name: MR. Richard Leo Fenton, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 28, 2009
Last Updated: May 28, 2009

Practice Location

Address: 4200 6TH AVE SE STE 202
City: Lacey
State: Washington
ZIP Code: 98503-1042
Phone: (360) 539-7726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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