Lisa Blake, MD

NPI 1861424004 · on the registry since 2006

Practice

Address: 15 Riverbend Dr Sw
Ste 200
Rome, GA 30161
Phone: (706) 291-0884
Fax: (706) 235-0405
Organisation at this address: Children'S Dental Center, Pc
Novus Orthodontics Of Georgia Llc
Northwest Georgia Medical Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 207V00000X
207V00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-11

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 Georgia