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Individual

LISA BLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIC. AC.

Contact information

Practice address
16 BRADLEE RD, MEDFORD, MA 02155-3171
(781) 269-2849
Mailing address
81 HIGH ST # 2, WALTHAM, MA 02453-0545
(804) 931-8288

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
07/05/2014
Last updated
08/24/2016
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