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Mr. Donald Lance Ellis, DONALDELLISLMP
Specialist in Everett, Washington
NPI 1649394313

Donald Lance Ellis is a Specialist based in Everett, WA. Donald Lance Ellis practices in Everett, WA and has the professional credentials of DONALDELLISLMP. The NPI Number for Donald Lance Ellis is 1649394313 and holds a License No. MA00014354 (Washington).

The current practice location address for Donald Lance Ellis is 2610 B Colby Ave., Everett, WA and can be reached out via phone at 425-870-1547 and via fax at 425-290-6936.

Location: 2610 B Colby Ave., Everett, WA, 98204-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649394313
Provider Name
Donald Lance Ellis
Credential
DONALDELLISLMP
Provider Entity Type
Individual
Gender
Male
Address
2610 B Colby Ave., Everett, WA, 98204-3650
Phone Number
425-870-1547
Fax Number
425-290-6936
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2610 B Colby Ave.
City
Everett
State
Washington
Zip
98201
Phone Number
425-870-1547
Fax Number
425-290-6936
person
Provider Business Mailing Address Details
Address
2610 B Colby Ave.
City
Everett
State
Washington
Zip
98201
Phone Number
425-870-1547
Fax Number
425-290-6936
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00014354 (Washington)
Definition
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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