- Practice location
- 62 Alumni Dr, Castleton, VT 05735-4454
- Phone
- 802-779-6666
- Fax
- —
- Last updated
- October 31, 2023
Corey Justin Lacz is a Specialist/Technologist, Athletic Trainer based in Castleton, VT. Corey Justin Lacz practices in Castleton, VT. The NPI Number for Corey Justin Lacz is 1679221782. The current practice location address for Corey Justin Lacz is 62 Alumni Dr, Castleton, VT 05735-4454 and can be reached out via phone at 802-779-6666.
Provider Profile Details
- NPI Number
- 1679221782
- Provider Name
- Corey Justin Lacz
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 62 Alumni Dr, Castleton, VT 05735-4454
- Phone Number
- 802-779-6666
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 17, 2022
- Last Update Date
- October 31, 2023
- Certification Date
- October 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Alumni Dr
Castleton, VT 05735-4454 - City
- Castleton
- State
- Vermont
- Zip
- 05735-4454
- Phone Number
- 802-779-6666
Provider Business Mailing Address Details
- Address
- 138 Highland Ave
West Rutland, VT 05777-9412 - City
- West Rutland
- State
- VT
- Zip
- 05777-9412
- Phone Number
- 802-779-2666
License Information
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Corey J Lacz?
The NPI number of Mr. Corey J Lacz is 1679221782. It was assigned on March 17, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Corey J Lacz?
Mr. Corey J Lacz is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Mr. Corey J Lacz practice?
The practice location is 62 Alumni Dr, Castleton, VT 05735-4454. The office can be reached at 802-779-6666 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679221782 directly on the NPPES registry website.