Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacy Blackmon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083540900

Lacy Blackmon is a Student in an Organized Health Care Education/Training Program in Alexandria, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

1751 Jackson St
Alexandria, LA 71301-6433
Phone: (318) 445-5678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (LA)

Record details

NPI number1083540900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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