Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Lacey M Runyon, DAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1811951700

Miss. Lacey M Runyon, DAT, LAT, ATC is an Athletic Trainer in Waukesha, Wisconsin. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

100 N East Ave
Waukesha, WI 53186-3103
Phone: (262) 524-7202
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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 36001401A (IN)

Record details

NPI number1811951700
Entity typeIndividual (Type 1)
GenderFemale
Credentials DAT , LAT , ATC
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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