# BLAKE ACUPUNCTURE & HERBAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326555079
- **Authorized official:** LISA BLAKE LIC.AC (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (781) 269-2849

## Contact information

- **Practice address:** 16 BRADLEE RD, MEDFORD, MA 02155-3171
- **Practice address phone:** (781) 269-2849
- **Practice address fax:** (866) 750-7899
- **Mailing address:** 16 BRADLEE RD, MEDFORD, MA 02155-3171
- **Mailing address phone:** (781) 269-2849
- **Mailing address fax:** (866) 750-7899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 261149 | MA | Yes |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 01/03/2018