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Individual
LINDSEY CARLTON BLAKE
Active
Individual
LINDSEY CARLTON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
7430
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290205
—
NV
01
—
300059138
RR MEDICARE
—
01
—
NV7305
BLUE
NV
Enumeration date
01/06/2006
Last updated
01/11/2013
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