Individual
LILA JO BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
131 RED DEVIL DR, HULETT, WY 82720-5047
(307) 688-2235
(307) 688-2340
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33631.46339
WY
Other
Enumeration date
08/19/2008
Last updated
07/25/2024
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