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PAMELA RAE LAWRENCE FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2671
(203) 852-2057
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2671
(203) 852-2057

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000711
CT

Other

Enumeration date
04/23/2007
Last updated
03/07/2016
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