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

Zander Gabriel Lichosik

Individual provider Athletic Trainer · NPI 1891522108

Zander Gabriel Lichosik is an Athletic Trainer in Blacksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

25 Beamer Way
Blacksburg, VA 24061-6267
Phone: (414) 731-5342
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126004290 (VA)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891522108
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2024
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address320 Continental Cir Apt 201, Christiansburg, VA 24073-1209

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