Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANCELOR LUCAS HERNANDEZ, MA, ATC, LAT
Active Sole ProprietorCHANCELOR LUCAS HERNANDEZ, MA, ATC, LAT is a Athletic Trainer healthcare provider located in BEAVER DAM, Wisconsin. NPI 1336529296 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BEAVER DAM, WI
Registration Details
- NPI Number
- 1336529296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2015 (11.166877654978 yrs)
- Last Updated
- Jun 5, 2015
- License
-
1063-39 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
707 S UNIVERSITY AVEBEAVER DAM, WI, 539163027Browse WI providers · Browse ZIP 53916
- Phone
- 9202194009
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW TOMAS LUNDIN | ATC | 1194754267 |
| ELIZABETH A HANSMANN | LAT | 1851404248 |
| MICHELLE WOODS | LAT | 1992140925 |
| JANICE KATHRYN HAMACHEK KELLNER | — | 1609269752 |
| GREGORY BEIER | — | 1689125064 |
| LORENA GALVAN | — | 1043043292 |
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.