Individual
LAUREN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1413 LASKIN RD, VIRGINIA BEACH, VA 23451-6007
(757) 263-2800
Mailing address
5422 HUNT CLUB DR, VIRGINIA BEACH, VA 23462-3413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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