Individual
JAMES LANCIAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546-8292
(231) 519-0100
Mailing address
227 WARREN AVE SE, APT 1, GRAND RAPIDS, MI 49506-1535
(231) 519-0100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L2553419
MI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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