Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES MORRIS LAUDER III, ATC, ATL
ActiveCHARLES MORRIS LAUDER III, ATC, ATL is a Athletic Trainer healthcare provider located in CENTRALIA, Illinois. NPI 1942578299 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CENTRALIA, IL
Registration Details
- NPI Number
- 1942578299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2011 (14.685778537358 yrs)
- Last Updated
- Dec 1, 2011
- License
-
096.002987 (IL)
Practice Information
- Address
-
1441 W BROADWAYCENTRALIA, IL, 628015613Browse IL providers · Browse ZIP 62801
- Phone
- 6185320810
- Fax
- 6185320812
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CENTRALIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MELISSA KRISTINE VANGIESEN | MS, ATC | 1427022250 |
| MR. TODD MICHAEL HOYT | ATC | 1235220310 |
| MISS KERRY HAMMOND | MSED, ATC/LAT | 1619393543 |
| LANCE AARON WENZEL | — | 1477348928 |
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.