Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL DONALD DE LAP, ATC
ActiveRUSSELL DONALD DE LAP, ATC is a Athletic Trainer healthcare provider located in MEQUON, Wisconsin. NPI 1104969336 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MEQUON, WI
Registration Details
- NPI Number
- 1104969336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2007 (19.452639479668 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4039 (WI)
Practice Information
- Address
-
12800 N LAKE SHORE DRMEQUON, WI, 530972418Browse WI providers · Browse ZIP 53097
- Phone
- 2622434323
- Fax
- 2622432969
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MEQUON, WI
| Name | Credential | NPI |
|---|---|---|
| KEMERY JEAN SIGMUND | ATC | 1174636328 |
| RHONDA LYNN VERDEGAN | PHD, LAT, ATC CSCS | 1265581649 |
| MRS. JENNIFER THORPE | MS, ATC, LAT, CSCS | 1639397458 |
| SUE A REED | AT | 1215214192 |
| ANGELA STEFFEN | LAT | 1619397973 |
| JEFFREY S HINKLE | M.ED, ATC/L | 1619382306 |
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.