Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chancelor Lucas Hernandez, MA, ATC, LAT

Individual provider Athletic Trainer · NPI 1336529296

Chancelor Lucas Hernandez, MA, ATC, LAT is an Athletic Trainer in Beaver Dam, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 219-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1063-39 (WI)

Record details

NPI number1336529296
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , LAT
Sole proprietorYes
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015

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