Individual
SHELLY LYN BLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1411 S CREASY LN STE 120, LAFAYETTE, IN 47905-7433
(765) 447-4165
(765) 446-5317
Mailing address
1411 S CREASY LN STE 120, LAFAYETTE, IN 47905-7433
(765) 447-4165
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
128558
IN
Other
Enumeration date
03/14/2016
Last updated
08/11/2023
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