Individual
LINDSEY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7000
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R105658
AR
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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