Individual
MR. L. BLAIR ALEXANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC/L
Contact information
Practice address
2980 N LAKEWOOD CT, BLOOMINGTON, IN 47408-1081
(812) 332-9439
Mailing address
2980 N LAKEWOOD CT, BLOOMINGTON, IN 47408-1081
(812) 332-9439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000500A
IN
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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