HomeNPI Verification

NPI Verification

National Provider Identifier: 1881472371

Lara Blake

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

2056 NEW CHAPEL RD

NETTLETON, MS 388588257

Phone: 662-538-8753

NPI Enumeration Date

September 18, 2023

NPI Number

1881472371

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry