Individual
MS. LAURA ELIZABETH BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1596 HIGHWAY 33 S, NEW TAZEWELL, TN 37825-7104
(423) 626-8271
(423) 626-0688
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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