Lisa Blake
NPI #1588014732 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1588014732
- Entity Type
- Individual
- Name
- Lisa Blake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 20, 2016
- Last Updated
- Jun 20, 2016
Practice Location
- Address
- 230 HIGHLAND AVE
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02143-1408
- Phone
- (617) 591-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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