Alaric Remington Lane Blackwell, CSA is a student in an organized health care education training program in Crescent Springs, KY. 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. Alaric Remington Lane Blackwell, CSA NPI is 1659019248. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
541 BUTTERMILK PIKE STE 200
CRESCENT SPRINGS, KY
ZIP 41017-696
Phone: (859) 859-2023
The enumeration date for this NPI number is 5/24/2022 and was last updated on 3/7/2023.