Individual provider · Type 1 NPI

Madison Clare Blackwell, DO

Student in an Organized Health Care Education/Training Program · Lake Charles, LA

NPI number 1437890084 Active

Practice location

1983 Belfield Rd
Lake Charles, LA 70611-4648

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1437890084

Madison Clare Blackwell, DO's National Provider Identifier is 1437890084, issued on Apr 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 6, 2022.