Individual
LEXY LYNN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-5925
Mailing address
605 RANDOLPH RD, LAWTON, OK 73503-4535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001862-15
WI
Other
Enumeration date
08/04/2025
Last updated
08/19/2025
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