Individual
MR. LANCE GEOFFREY GATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11650 SE 60TH STREET, BELLEVUE, WA 98006
(425) 283-1221
Mailing address
117 15TH AVENUE, KIRKLAND, WA 98033
(425) 283-1221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-0533
CERTIFIED ATHLETICTRAINER
WA
Enumeration date
05/08/2007
Last updated
07/08/2007
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