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Individual

DR. ROBERT ALLEN LANTRIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3808 TIETON DR, SUITE 1, YAKIMA, WA 98902-3691
(509) 966-3421
(509) 972-0980
Mailing address
3808 TIETON DR, SUITE 1, YAKIMA, WA 98902-3691
(509) 966-3421
(509) 972-0980

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001976
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001121
WA
01
85397
LABOR AND INDUSTRIES
WA
01
LA 1115
REGENCE BLUESHIELD
WA
Enumeration date
02/01/2007
Last updated
04/06/2009
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