Individual
LENORA A FITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
630 W MAIN ST STE 105, WILMINGTON, OH 45177-2171
(937) 382-9643
Mailing address
616 WILLARD STREET, WASHINGTON COURT HOUSE, OH 43160-1726
(740) 335-5270
(740) 335-1924
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
34-00-5989F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216368
—
OH
Enumeration date
03/29/2006
Last updated
10/01/2020
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