Individual
MRS. LAUREN MARIE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9051 TAMIAMI TRL N, SUITE 104, NAPLES, FL 34108-2596
(239) 591-4711
(239) 593-1195
Mailing address
9051 TAMIAMI TRL N, SUITE 104, NAPLES, FL 34108-2596
(239) 591-4711
(239) 593-1195
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA23795
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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