Individual
DR. LAUREN BEEZLEY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5110
(573) 335-4689
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018008132
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149741
—
LA
Enumeration date
04/04/2011
Last updated
01/14/2021
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