Individual
LAKEYSHAN BLAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
112 LOWELL ST APT 15, PEABODY, MA 01960-4286
(857) 417-6584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2324543
MA
Other
Enumeration date
09/13/2023
Last updated
09/20/2023
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