Active NPIIndividual providerSole proprietor

Lisa Blake, LIC AC

Acupuncturist in Medford, Massachusetts

NPI Number1457767907
Practice location
16 Bradlee RD, Medford, MA 02155-3171
Fax
—
Last updated
August 24, 2016

Lisa Blake is an Acupuncturist based in Medford, MA. Lisa Blake practices in Medford, MA and has the professional credentials of LIC AC. The NPI Number for Lisa Blake is 1457767907. The current practice location address for Lisa Blake is 16 Bradlee RD, Medford, MA 02155-3171 and can be reached out via phone at 781-269-2849.

Provider Profile Details

NPI Number
1457767907
Provider Name
Lisa Blake
Credential
LIC AC
Provider Entity Type
Individual
Gender
Female
Address
16 Bradlee RD, Medford, MA 02155-3171
Phone Number
781-269-2849
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2014
Last Update Date
August 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Bradlee RD
Medford, MA 02155-3171
Zip
02155-3171
Phone Number
781-269-2849
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
81 High St # 2
Waltham, MA 02453-0545
City
Waltham
State
MA
Zip
02453-0545
Phone Number
804-931-8288

License Information

Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Blake, LIC AC?

The NPI number of Lisa Blake, LIC AC is 1457767907. It was assigned on July 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Lisa Blake, LIC AC?

Lisa Blake, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X).

Where does Lisa Blake, LIC AC practice?

The practice location is 16 Bradlee RD, Medford, MA 02155-3171. The office can be reached at 781-269-2849 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457767907 directly on the NPPES registry website.

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