Individual
LAUREL J BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16517
NV
208600000X
Surgery Physician
2013-02433
NC
208600000X
Surgery Physician
Primary
ME169228
FL
208600000X
Surgery Physician
MT194435
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750510855
—
NC
01
—
2013-02433
NC LICENSE
NC
01
—
MD443811
PA LICENSE
PA
01
—
MT194435
MEDICAL LICENSE NUMBER
PA
05
—
NC2131
—
SC
Enumeration date
07/09/2009
Last updated
09/08/2024
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