Individual
ALEXANDRE LACROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1927
(262) 344-9982
Mailing address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1927
(262) 344-9982
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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