Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LANCE WAYNE WILKE, ATC, LAT, CSCS, PES
Active Sole ProprietorMR. LANCE WAYNE WILKE, ATC, LAT, CSCS, PES is a Athletic Trainer healthcare provider located in INGRAM, Texas. NPI 1225235666 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · INGRAM, TX
Registration Details
- NPI Number
- 1225235666
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.129782832192 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT1583 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 HILLSIDE DRINGRAM, TX, 780253126Browse TX providers · Browse ZIP 78025
- Phone
- 8303672803
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.