James Lanciaux, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

L2553419 Issued in MI

Practice address

4100 Lake Dr SE
Suite 305
Grand Rapids, MI 49546-8292

Phone

(231) 519-0100

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1407266448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 WARREN AVE SE",
            "address_2": "APT 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061535",
            "telephone_number": "231-519-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "address_2": "SUITE 305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "231-519-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCIAUX",
        "first_name": "JAMES",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "L2553419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Olivia Lampen, NP-C
• Russell Lampen, DO
• Lily Lamson
• Marijah Ameir Lancaster
• Scott R Lancaster, MD
• Corey J Landacre, CRNA
• Gracie Jo Landes, PTA
• Brianna Joe Landheer
• Melissa Landis
• Matison Landman

• Athletic Trainer in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.