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

Zach Lacross, ATC

Individual provider Athletic Trainer · NPI 1013315092

Zach Lacross, ATC is an Athletic Trainer in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
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

1490 Douglas Dr Lingle Hall 118 Mc 6620
Carbondale, IL 62901-4332
Phone: (618) 453-4163
Fax: (618) 453-4173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.003415 (IL)

Record details

NPI number1013315092
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 8, 2014
Last updated in NPPESDecember 8, 2014
Mailing address1490 Douglas Dr, Lingle Hall 118, Mc 6620, Carbondale, IL 62901-4332

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