CHARLES LAUDER III, ATC, ATL

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1942578299

Practice Address

1441 W BROADWAY
Centralia, IL 62801

Phone: (618) 532-0810

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 096.002987 (IL)

Frequently Asked Questions

NPI 1942578299 is the National Provider Identifier for CHARLES LAUDER III, ATC, ATL, a Specialist/Technologist - Athletic Trainer provider located in Centralia, IL. This NPI was enumerated on December 1, 2011.
CHARLES LAUDER III, ATC, ATL practices at 1441 W BROADWAY, Centralia, IL 62801.

Quick Facts

NPI
1942578299
Type
Individual
Enumerated
Dec 1, 2011
Last Updated
Dec 1, 2011

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