Individual
DR. JACOB COLMAN BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
506 S 6TH ST, LEESVILLE, LA 71446-4482
(337) 239-0989
(337) 239-0987
Mailing address
172 LONESOME HILL RD, LEESVILLE, LA 71446-6231
(217) 717-7836
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
300191
LA
Other
Enumeration date
04/20/2012
Last updated
12/07/2015
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