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

MICHAEL LYCAN, LAT, ATC

Active Sole Proprietor

MICHAEL LYCAN, LAT, ATC is a Athletic Trainer healthcare provider located in LAKE STEVENS, Washington. NPI 1821662362 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAKE STEVENS, WA

Registration Details

NPI Number
1821662362
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2021 (5.1965106628366 yrs)
Last Updated
May 19, 2021
License
A160711532 (WA)
Sole Proprietor
Yes

Practice Information

Address
8217 17TH ST SE
LAKE STEVENS, WA, 982583839
Browse WA providers · Browse ZIP 98258
Phone
5039301828
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAKE STEVENS, WA

Name Credential NPI
LYMAN CHARLES DROWN ATC 1326344391
MARIAH NICOLE LUEDTKE ATC 1184301889
SARAH ANNE MOORE ATC 1811873334
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.