Individual
STEVIE BLACKBURN-LAZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14100 6 MILE CYPRESS PKWY, FORT MYERS, FL 33912-4314
(239) 533-7695
Mailing address
3008 NANCY MCDONALD DR, EL PASO, TX 79936-3364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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