RUSSELL DONALD DE LAP, ATC

NPI: 1104969336 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

12800 N LAKE SHORE DR
MEQUON, WI 53097-2418 Map ↗
Phone: 262-243-4323
Fax: 262-243-2969

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: 4039, WI)

NPI Registration

Enumerated: 2007-02-15

Last CMS Update: 2007-07-08