Charles Lauder, ATC, ATL

NPI 1942578299 · on the registry since 2011

Practice

Address: 1441 W Broadway
Centralia, IL 62801
Phone: (618) 532-0810
Fax: (618) 532-0812
Organisation at this address: Physician Services Corporation Of Southern Illinois Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

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: 2011-12-01

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