Individual
MR. LANCE BUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17422 108TH AVE SE, RENTON, WA 98055-5400
(425) 255-0427
(425) 255-1066
Mailing address
17422 108TH AVE SE, RENTON, WA 98055-5400
(425) 255-0427
(425) 255-1066
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA00005302
WA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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