Individual provider · Type 1 NPI
Lacy Blackmon
Student in an Organized Health Care Education/Training Program · Alexandria, LA
NPI number
1083540900
Active
Practice location
1751 Jackson St
Alexandria, LA 71301-6433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1083540900
Lacy Blackmon's National Provider Identifier is 1083540900, issued on Jun 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alexandria, LA. The record was last updated on Jun 18, 2026.