Individual
MS. LESLIE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2206 LONGO DR STE 102, BELLEVUE, NE 68005-2977
(402) 591-4500
Mailing address
2206 LONGO DR STE 102, BELLEVUE, NE 68005-2977
(402) 591-4500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20103
NE
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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