Individual
BLAKE RICHARD LAMBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2868
(916) 782-2229
(916) 797-9414
Mailing address
5MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2868
(916) 782-2229
(916) 797-9414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G83649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G836490
—
CA
Enumeration date
03/09/2006
Last updated
08/20/2008
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