Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Morris Lauder III, ATC, ATL

Individual provider Athletic Trainer · NPI 1942578299

Charles Morris Lauder III, ATC, ATL is an Athletic Trainer in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1441 W Broadway
Centralia, IL 62801-5613
Phone: (618) 532-0810
Fax: (618) 532-0812
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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 096.002987 (IL)

Record details

NPI number1942578299
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , ATL
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESDecember 1, 2011

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