Individual
MS. LORI ANN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, FNP
Contact information
Practice address
4C NORTH AVE STE 403, BEL AIR, MD 21014-2333
(443) 567-6320
(443) 327-4951
Mailing address
4C NORTH AVE STE 403, BEL AIR, MD 21014-2333
(443) 567-6320
(443) 327-4951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
155922
MO
363L00000X
Nurse Practitioner
AP4625
AZ
363LF0000X
Family Nurse Practitioner
Primary
1022167
TX
363LF0000X
Family Nurse Practitioner
R270237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331470A
—
KS
05
—
223521800
—
MD
05
—
427366802
—
MO
05
—
734594
—
AZ
Enumeration date
04/26/2006
Last updated
06/06/2025
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