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Lisa Blake

NPI 1720813835 · on the registry since 2024 · sole proprietor

Practice

Address
1323 S Ash St
Buffalo, MO 65622
Phone
(417) 345-2222
Clinicians at this address
5

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri