SearchIndiana2255A2300X

Lukas Passalacqua, MSAT, ATC

NPI 1104314046 · on the registry since 2018

Practice

Address
900 N John R Wooden Dr
West Lafayette, IN 47907
Phone
(765) 494-3245
Fax
(765) 494-9899
Organisation at this address
Thomas A Brady Sports Medicine Center, Pc
Purdue University Sports Medicine West Lafayette
Inferred from a shared address, not stated in the registry.
Clinicians at this address
79

Additional practice sites

  • 900 N John R Wooden Dr, West Lafayette, IN

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
AZ, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-26

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 Indiana