NPI 1679221782
Corey Justin Lacz
Practice location
- Address
- 62 Alumni Dr, Castleton, VT 05735-4454
- Phone
- (802) 779-6666
- Mailing address
- 138 Highland Ave, West Rutland, VT 05777-9412
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1679221782
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Mar 2022
- Record last updated
- 31 Oct 2023
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.