Organization
ANKLE AND FOOT CLINIC OF LAKEWOOD, PLLC
Active
Other names
Cynthia A Fenberg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA ANN FENBERG D.P.M. (PHYSICIAN/OWNER)
(253) 474-4353
Entity
Organization
Contact information
Practice address
5225 CIRQUE DR W, STE 100, UNIVERSITY PLACE, WA 98467-3604
(253) 474-4353
(253) 474-5850
Mailing address
5225 CIRQUE DR W, STE 100, UNIVERSITY PLACE, WA 98467-3604
(253) 474-4353
(253) 474-5850
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GAB 18873
MEDICARE GROUP NUMBER
WA
Enumeration date
08/22/2007
Last updated
06/16/2010
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