Blake, Lisa
Blake, Lisa is an individual health care provider with primary practice located at 15 Riverbend Dr Sw Ste 200, Rome GA 30161-6065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blake, Lisa can be contacted via phone (706) 291-0884.Contact Information
Primary practice address
15 Riverbend Dr Sw Ste 200
Rome GA 30161-6065
Phone: (706) 291-0884
Fax: (706) 235-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 055101 | Georgia |
Profile Details
| NPI number | 1861424004 |
|---|---|
| LBN Legal business name | Blake, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 11th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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