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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00014354 (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.