Lance R Keck PA-C

NPI 1174793590 - Physician Assistant - 363AS0400X

NPI Details
NPI 1174793590
Gender Male
Enumeration Date 03/03/2008
Last Updated 02/05/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1802 YAKIMA AVE
STE 102
TACOMA WA, 98405-4499, US
Phone (253) 272-7777
Fax (253) 426-4142
Business Location
1802 YAKIMA AVE
STE 102
TACOMA WA, 98405-4499, US
Phone (253) 272-7777
Fax (253) 426-4142
Toxanomy
Taxonomy Code 363AS0400X
License State Oregon
License Number PA01360
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According to our database, Mr. Lance R Keck PA-C NPI is 1174793590, taxonomy code is 363AS0400X and license number is PA01360, license state is located at Oregon. Lance R Keck PA-C physically located at 1802 Yakima Ave, Tacoma WA, 98405-4499. NPI Number Lance R Keck PA-C has the Individual type.

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1174793590 NPI number is provided on an as is basis without warranty of any kind. 1174793590 is maintained by the National Plan & Provider Enumeration System. The contents of Lance R Keck PA-C are for informational purposes only.