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Individual

LINDSEY CARLTON BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3061 S MARYLAND PKWY, SUITE 102, LAS VEGAS, NV 89109-2298
(702) 731-2888
(702) 696-9289
Mailing address
1 INDEPENDENCE PT STE 202, GREENVILLE, SC 29615-4536
(877) 406-2916

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
7430
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200290205
NV
01
300059138
RR MEDICARE
01
NV7305
BLUE
NV
Enumeration date
01/06/2006
Last updated
01/11/2013
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