Alexandre Lacrosse
Alexandre Lacrosse is an Athletic Trainer in Kenosha, Wisconsin. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2001 Alford Park DrKenosha, WI 53140-1927
Phone: (262) 344-9982
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1548894462 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 29, 2020 |
| Last updated in NPPES | February 29, 2020 |
| Certification date | February 29, 2020 |
| Mailing address | 2001 Alford Park Dr, Kenosha, WI 53140-1927 |
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