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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X1021815 (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.