Individual
LAUREN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSM E.P.
Contact information
Practice address
50 PUBLIC SQ, HOLLEY, NY 14470-1166
(585) 431-3522
Mailing address
7284 4TH SECTION RD, BROCKPORT, NY 14420-9662
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/08/2019
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