NPI 1003195595

Dennis Anthony Vicidomini, ATC

Practitioner Athletic Trainer Lancaster, PA

Practice location

Address: 1905 Split Rock Rd, Lancaster, PA 17601-6421
Phone: (717) 898-5515

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT001392A (PA)

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Registry record

NPI: 1003195595
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2011
Record last updated: 15 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.