Individual provider · Type 1 NPI
Tanner Lines, MD
Diagnostic Radiology Physician · Boston, MA
NPI number
1366062416
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
517 Arbor Brook Ln
Coppell, TX 75019-4044
Other practice locations
- 6431 Fannin St Ste Msb 1134, Houston, TX 77030-1501 · (713) 500-6500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | 1021815 (MA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1366062416
Tanner Lines, MD's National Provider Identifier is 1366062416, issued on Apr 19, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jun 4, 2025.