Lance Letourneau, ATC, AT, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

26010011907 Issued in MI

Practice address

7158 Bolingbrook Dr
Portage, MI 49024-3491

Phone

(989) 630-8809

NPI assigned

Mar 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1144680273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7158 BOLINGBROOK DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243491",
            "telephone_number": "989-630-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7158 BOLINGBROOK DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243491",
            "telephone_number": "989-630-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Oak St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075027",
            "country_code": "US",
            "telephone_number": "989-630-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETOURNEAU",
        "first_name": "LANCE",
        "credential": "ATC, AT, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "26010011907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry John Lekosiotis, P.T.
• Carah Beth Lemmen
• Kathleen L Lemmen, M.D.
• Ryane Valerie Leppard, MSPT
• Brady Lesher
• Heather Nicole Lettow, M.A.,, LPC, LMFT
• Ashley Lewis, LLC
• Brittany Lewis
• Elena Jean Lewis, MD
• Terry Hubert Lewis, NP-C

• Athletic Trainer in Portage, MI
• Providers in Portage, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.