Individual
DR. DAVID LYNN FAIRBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 NORTHWEST LN SE, LACEY, WA 98503-6908
(360) 491-4460
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 486-6508
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00013192
WA
Other
Enumeration date
02/02/2006
Last updated
08/29/2013
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