Individual
LAUREN BLACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
2500 CHERRY AVE STE 102, BREMERTON, WA 98310-4202
(360) 478-2087
(360) 405-6303
Mailing address
2500 CHERRY AVE STE 102, BREMERTON, WA 98310-4202
(360) 478-2087
(360) 405-6303
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
O100000462
WA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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