Lawrence Fanning, Pamela Rae

Lawrence Fanning, Pamela Rae is an individual health care provider with primary practice located at 24 Stevens St , Norwalk CT 06850-3852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lawrence Fanning, Pamela Rae can be contacted via phone (203) 852-2671.

Contact Information

Primary practice address
24 Stevens St Norwalk CT 06850-3852
Fax: (203) 852-2057
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000711 Connecticut

Profile Details

NPI number 1043438435
LBN Legal business name Lawrence Fanning, Pamela Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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