Provider Demographics
NPI:1790803443
Name:FLEMMING, STANLEY LALIT KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:LALIT KUMAR
Last Name:FLEMMING
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:511 10TH AVE SE
Mailing Address - Street 2:LIFE CARE CTR OF PUYALLUP
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-3875
Mailing Address - Country:US
Mailing Address - Phone:251-845-7566
Mailing Address - Fax:253-845-3386
Practice Address - Street 1:7619 CHAMBERS CREEK RD W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98467-2015
Practice Address - Country:US
Practice Address - Phone:253-564-6675
Practice Address - Fax:253-566-1149
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2019-03-01
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Provider Licenses
StateLicense IDTaxonomies
WA1122207Q00000X, 207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine