MISS LACEY RUNYON, DAT, LAT, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1811951700
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 36001401A (IN) |
Frequently Asked Questions
NPI 1811951700 is the National Provider Identifier for MISS LACEY RUNYON, DAT, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Waukesha, WI. This NPI was enumerated on April 17, 2006.
MISS LACEY RUNYON, DAT, LAT, ATC practices at 100 N EAST AVE, Waukesha, WI 53186.
Quick Facts
- NPI
- 1811951700
- Type
- Individual
- Enumerated
- Apr 17, 2006
- Last Updated
- May 9, 2023
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