TRAVIS T LANE

SEATTLE, WA
NPI1689107880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: WA  MD61132608)
Enumeration Date2017-04-05
Last Update Date2022-01-13
Business Address
TRAVIS T LANE MD
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107-5902
Phone number: 206-320-3335
Mailing Address
TRAVIS T LANE MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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