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

MISS LACEY M RUNYON, DAT, LAT, ATC

Active

MISS LACEY M RUNYON, DAT, LAT, ATC is a Athletic Trainer healthcare provider located in WAUKESHA, Wisconsin. NPI 1811951700 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WAUKESHA, WI

Registration Details

NPI Number
1811951700
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2006 (20.29306343114 yrs)
Last Updated
May 9, 2023
License
36001401A (IN)

Practice Information

Address
100 N EAST AVE
WAUKESHA, WI, 531863103
Browse WI providers · Browse ZIP 53186
Phone
2625247202
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WAUKESHA, WI

Name Credential NPI
DR. JEFFREY P SISCHO DPT, LAT, PT 1588657902
MR. MICHAEL MCELROY LAT, ATC, CSCS 1740275601
JESSIE RAE BROVOLD ATC, ATR 1255326831
DAVID J DOMINGUESE MS, ATC, CSCS 1508820010
MR. DEREK CARL STEBBINS ATC 1386608479
MR. BEETHOVEN CARABACAN LAT, CSCS, BS, MS 1760448617
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.