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Search › Louisiana › 213ES0103X

Jacob Blakeman, DPM

NPI 1760749261 · on the registry since 2012 · sole proprietor

Practice

Address
506 S 6th St
Leesville, LA 71446
Phone
(337) 239-0989
Fax
(337) 239-0987
Organisation at this address
Clhg-Leesville
East State Mht Llc
Teofilo Gozaine Llc
Leesville Diagnostic Center Lp
West State Orthopedics And Sports Medicine Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-07

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 Louisiana