Zach Lacross, ATC

NPI 1013315092 · on the registry since 2014

Practice

Address: 1490 Douglas Dr
Lingle Hall 118, Mc 6620
Carbondale, IL 62901
Phone: (618) 453-4163
Fax: (618) 453-4173
Clinicians at this address: 4

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois