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Madison Clare Blackwell, DO
Student in an Organized Health Care Education/Training Program in Lake Charles, Louisiana
NPI 1437890084

Madison Clare Blackwell is a Student in an Organized Health Care Education/Training Program based in Lake Charles, LA. Madison Clare Blackwell practices in Lake Charles, LA and has the professional credentials of DO. The NPI Number for Madison Clare Blackwell is 1437890084 and holds a License No. (Louisiana).

The current practice location address for Madison Clare Blackwell is 1983 Belfield Rd, Lake Charles, LA and can be reached out via phone at 337-912-8363.

Location: 1983 Belfield Rd, Lake Charles, LA, 70611-4648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437890084
Provider Name
Madison Clare Blackwell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1983 Belfield Rd, Lake Charles, LA, 70611-4648
Phone Number
337-912-8363
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1983 Belfield Rd
City
Lake Charles
State
Louisiana
Zip
70611-4648
Phone Number
337-912-8363
Fax Number
person
Provider Business Mailing Address Details
Address
1983 Belfield Rd
City
Lake Charles
State
Louisiana
Zip
70611-4648
Phone Number
337-912-8363
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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