Individual provider · Type 1 NPI

Donald Lance Ellis, DONALD ELLIS LMP

Specialist · Everett, WA

NPI number 1649394313 Active

Practice location

2610 B Colby Ave.
Everett, WA 98201

Fax (425) 290-6936

Mailing address

10201 21st Ave W
Everett, WA 98204-3650

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00014354 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649394313

Donald Lance Ellis, DONALD ELLIS LMP's National Provider Identifier is 1649394313, issued on Mar 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Everett, WA. The record was last updated on Jul 8, 2007.