ZACH LACROSS, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1013315092

Practice Address

1490 DOUGLAS DR
LINGLE HALL 118, MC 6620
Carbondale, IL 62901

Phone: (618) 453-4163

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 096.003415 (IL)

Frequently Asked Questions

NPI 1013315092 is the National Provider Identifier for ZACH LACROSS, ATC, a Specialist/Technologist - Athletic Trainer provider located in Carbondale, IL. This NPI was enumerated on December 8, 2014.
ZACH LACROSS, ATC practices at 1490 DOUGLAS DR, LINGLE HALL 118, MC 6620, Carbondale, IL 62901.

Quick Facts

NPI
1013315092
Type
Individual
Enumerated
Dec 8, 2014
Last Updated
Dec 8, 2014

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