Michael Lycan, LAT, ATC
NPI #1821662362 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1821662362
- Entity Type
- Individual
- Name
- Michael Lycan, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- May 19, 2021
- Last Updated
- May 19, 2021
Practice Location
- Address
- 8217 17TH ST SE
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258-3839
- Phone
- (503) 930-1828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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