Search › Louisiana › 171M00000X
Corey Blake
NPI 1821509092 · on the registry since 2017 · sole proprietor
Practice
- Address
- 40 Goodwill Rd
Lecompte, LA 71346 - Phone
- (318) 470-9531
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-17
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