Wayne Stephen Lauritzen, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

115 Copper Lake LN
Georgetown, TX 78628-7179

Phone

(512) 844-9330

NPI assigned

Nov 20, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1063373934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COPPER LAKE LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786287179",
            "telephone_number": "512-844-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COPPER LAKE LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786287179",
            "telephone_number": "512-844-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITZEN",
        "first_name": "WAYNE",
        "middle_name": "STEPHEN",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Edward Lanning, PT
• Xandrea Elizabeth Lara
• Rupal Larkins
• Aletha Laterza
• Lauren McKay, LPC, PLLC
• Terri Katherine Lavergne, M.S., CCC-SLP
• Richard S. Lawlis, M.D.
• Anthony J Lawrence
• LCS Georgetown Propco LLC
• Kim Le, PHARM D.

• Athletic Trainer in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.