Individual provider · Type 1 NPI

Lasonjia Denise Blackmon

Driver · Little Rock, AR

NPI number 1386205359 Active

Practice location

5202 Mulberry Pl
Little Rock, AR 72206-4913

Call (501) 772-6073 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1386205359

Lasonjia Denise Blackmon's National Provider Identifier is 1386205359, issued on Jun 21, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Little Rock, AR. The record was last updated on Jun 21, 2019.