NPI 1780205377

Payton Laczynski, ATC

Practitioner Athletic Trainer Shorewood, IL

Practice location

Address: 24518 Lakewoods Ln, Shorewood, IL 60404-0676
Phone: (815) 482-5562

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096004448 (IL)

Other Specialist/Technologist providers in Illinois →

Registry record

NPI: 1780205377
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2020
Record last updated: 5 May 2020

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.