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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACH LACROSS, ATC

Active

ZACH LACROSS, ATC is a Athletic Trainer healthcare provider located in CARBONDALE, Illinois. NPI 1013315092 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CARBONDALE, IL

Registration Details

NPI Number
1013315092
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2014 (11.66618756877 yrs)
Last Updated
Dec 8, 2014
License
096.003415 (IL)

Practice Information

Address
1490 DOUGLAS DR
LINGLE HALL 118, MC 6620
CARBONDALE, IL, 629014332
Browse IL providers · Browse ZIP 62901
Phone
6184534163
Fax
6184534173
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CARBONDALE, IL

Name Credential NPI
MR. DONALD L HOWARD ATC, PTA 1588630594
MR. BRADLEY C. BRUSH A.T.C., C.S.C.S. 1013985613
MR. EDWARD BRENT THOMPSON ATC 1336117795
MS. DEBRA KAY FITZL ATC, LAT 1306806401
MS. ELIZABETH BROWN FEUTZ ATC, LAT,CSCS 1619937612
JOHN E MASSIE ATC, LAT 1043346372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.