Lollis, Blake David

Lollis, Blake David is an individual health care provider with primary practice located at 302 S 10Th Ave , Yakima WA 98901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lollis, Blake David can be contacted via phone (509) 574-3380.

Contact Information

Primary practice address
302 S 10Th Ave Yakima WA 98901
Phone: (509) 574-3380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD60584660 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60584660 Washington

Profile Details

NPI number 1770577553
LBN Legal business name Lollis, Blake David
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Sep 7th, 2016 - about 8 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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