ROBERT LEE BLACKWELL

LAKELAND, TN
NPI1942017181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-12-11
Last Update Date2024-12-11
Business Address
ROBERT LEE BLACKWELL
5292 DAY LILY DR
LAKELAND, TN 38002-5351
Phone number: 901-389-0205
Mailing Address
ROBERT LEE BLACKWELL
5292 DAY LILY DR
LAKELAND, TN 38002-5351
Phone number: 901-389-0205