Lisa Blake is a Obstetrics & Gynecology in Rome, Georgia. Lisa Blake practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Lisa Blake is 1861424004. The last update date is 2023-10-25.
Lisa Blake's current location address is 15 Riverbend Dr Sw, Rome, Georgia. You can contact this provider via phone number 7062910884 and fax number 7062350405. The mailing address for Lisa Blake is 15 Riverbend Dr Sw, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Blake |
|---|---|
| Address | 15 Riverbend Dr Sw, Rome, Georgia |
| Phone Number | 7062910884 |
| Fax Number | 7062350405 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861424004 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2023-10-25 |
Provider Mailing Address Detail
| Address | 15 Riverbend Dr Sw |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301616065 |
| Phone Number | 7062910884 |
| Fax Number | 7062350405 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 55101 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 305104628A | GA | -- |
Post Comment/ Review Below
What is the Lisa Blake's unique identification number?
The Lisa Blake has been assigned the NPI (National Provider Identifier) Number 1861424004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lisa Blake?
The Lisa Blake is situated at 15 Riverbend Dr Sw, in the city of Rome, state of GA, with the zip code 301616065.
What is Lisa Blake's area of expertise and its corresponding taxonomy classification?
The Lisa Blake's field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lisa Blake receive the assignment of its 1861424004 from the Centers for Medicare & Medicaid Services?
The Lisa Blake was issued its 1861424004 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the details pertaining to Lisa Blake last refreshed?
The information related to the Lisa Blake, including its address, specialty, and other relevant details, was last updated on 2023-10-25.