Blake, Lori Ann

Blake, Lori Ann is an individual health care provider with primary practice located at 1001 Arbor Park , Belton TX 76513-8196. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blake, Lori Ann can be contacted via phone (254) 831-2000.

Contact Information

Primary practice address
1001 Arbor Park Belton TX 76513-8196
Phone: (254) 831-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP4625 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 155922 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1022167 Texas

Profile Details

NPI number 1255397220
LBN Legal business name Blake, Lori Ann
Credentials RN, BC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255397220 NPPES
Arizona MEDICAID 734594
Arizona MEDICAID 427366802
Arizona MEDICAID 200331470A

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