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Individual

LINDSAY BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
200 LURAY DR, WINTERSVILLE, OH 43953-3973
(740) 314-8258
Mailing address
877 VISTA DR, GAHANNA, OH 43230-5957
(740) 275-2655

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN376991
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LE00033349
OH

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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