Blake, Lesley M.
Blake, Lesley M. is an individual health care provider with primary practice located at 850 Maple Street , Medical Lake WA 99022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Blake, Lesley M. can be contacted via phone (509) 299-3121.Contact Information
Primary practice address
850 Maple Street
Medical Lake WA 99022
Phone: (509) 299-3121
Fax: (509) 299-7015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00043593 | Washington |
Profile Details
| NPI number | 1326037573 |
|---|---|
| LBN Legal business name | Blake, Lesley M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326037573 | NPPES |
| Washington | MEDICAID | 8421471 |
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