Individual
MR. DONALD LANCE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DONALD ELLIS LMP
Contact information
Practice address
2610 B COLBY AVE., EVERETT, WA 98201
(425) 870-1547
(425) 290-6936
Mailing address
10201 21ST AVE W, EVERETT, WA 98204-3650
(425) 355-7539
(425) 290-6936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014354
WA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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