Individual
MADELINE LACESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
441 COUNTRY CLUB RD, YORK, PA 17403-3614
(717) 318-4284
Mailing address
815 GLENDALE RD, YORK, PA 17403-4129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005932
PA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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