Individual provider · Type 1 NPI
Lea Blackburn
Student in an Organized Health Care Education/Training Program · Downingtown, PA
NPI number
1720546807
Active
Practice location
1311 Kerwood Ln
Downingtown, PA 19335-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1720546807
Lea Blackburn's National Provider Identifier is 1720546807, issued on Mar 7, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Downingtown, PA. The record was last updated on Mar 7, 2019.