Lutrino Marcell Blalock in Raleigh - Clinical
Lutrino Marcell Blalock - NPI 1699896530
Lutrino Marcell Blalock is a Clinical in Raleigh, North Carolina. Lutrino Marcell Blalock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lutrino Marcell Blalock is 1699896530. The last update date is 2015-11-18.
Lutrino Marcell Blalock's current location address is 10716 Lowery Dr, Raleigh, North Carolina. You can contact this provider via phone number 9196040918. The mailing address for Lutrino Marcell Blalock is 10716 Lowery Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lutrino Marcell Blalock |
|---|---|
| Address | 10716 Lowery Dr, Raleigh, North Carolina |
| Phone Number | 9196040918 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. L.P. |
NPI Number Detail
| NPI Number | 1699896530 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2015-11-18 |
Provider Mailing Address Detail
| Address | 10716 Lowery Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276159714 |
| Phone Number | 9196040918 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2493 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107073 | NC | -- |
Post Comment/ Review Below
What is the Lutrino Marcell Blalock's 1699896530?
The Lutrino Marcell Blalock's NPI (National Provider Identifier) Number is 1699896530. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lutrino Marcell Blalock?
The Lutrino Marcell Blalock is situated at 10716 Lowery Dr, in the city of Raleigh, state of NC, with the zip code 276159714.
What is Lutrino Marcell Blalock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lutrino Marcell Blalock is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Lutrino Marcell Blalock receive its 1699896530 assignment from the Centers for Medicare & Medicaid Services?
The Lutrino Marcell Blalock was assigned its 1699896530 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information related to Lutrino Marcell Blalock most recently updated or refreshed?
The details pertaining to the Lutrino Marcell Blalock, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-18.