Individual
LANA J BLAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 OAK CREEK ESTATES RD, POTEET, TX 78065-4019
(210) 334-9230
Mailing address
PO BOX 458, POTEET, TX 78065-0458
(210) 334-9230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1069252
TX
363LG0600X
Gerontology Nurse Practitioner
1069252
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1069252
TX
363LP2300X
Primary Care Nurse Practitioner
1069252
TX
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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