MADISON CLARE BLACKWELL DO NPI 1437890084

NPI Information

Madison Clare Blackwell, DO is a student in an organized health care education training program in Lake Charles, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Madison Clare Blackwell, DO NPI is 1437890084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1983 BELFIELD RD
LAKE CHARLES, LA
ZIP 70611-648
Phone: (337) 912-8363

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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