CHARLES MORRIS LAUDER III ATC, ATL
NPI 1942578299
Specialist/Technologist - Athletic Trainer in Centralia, IL

Active since December 01, 2011
1441 W BROADWAY, CENTRALIA, IL 62801(618) 532-0810(618) 532-0812 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Morris Lauder Iii Atc, Atl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MORRIS LAUDER III ATC, ATL (NPI 1942578299) is an individual athletic trainer provider in Centralia, Illinois, licensed in Illinois (096.002987) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1942578299
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameCHARLES MORRIS LAUDER IIICredential: ATC, ATL
Location Address1441 W BROADWAYCentralia, IL 62801-5613
Mailing Address26041 W 10th Street RdCentralia, IL 62801-5947
Fax(618) 532-0812
Sole ProprietorNo
Enumeration DateDecember 1, 2011
NPI 1942578299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in IL · 096.002987
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1441 W BROADWAY, Centralia, IL 62801

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Clinic/Center (Rural Health)
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner (Women's Health)
1441 W BROADWAY
CENTRALIA, IL 62801
Family Medicine
1441 W BROADWAY
CENTRALIA, IL 62801
Internal Medicine
1441 W BROADWAY
CENTRALIA, IL 62801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Lauder's NPI number?

The NPI number for Charles Lauder is 1942578299. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Charles Lauder located?

Charles Lauder practices at 1441 W Broadway, Centralia, IL 62801. The listed phone number is (618) 532-0810.

What is Charles Lauder's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Charles Lauder was last updated on December 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.