National Provider Identifier Database

LISA BLAKE, LIC. AC. – NPI #1457767907
Acupuncturist

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.


Contact Information

LISA BLAKE, LIC. AC.
16 BRADLEE RD
MEDFORD, MA02155-3171
Phone: 781-269-2849
Fax:
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for LISA BLAKE

NPI Number 1457767907
Credentials LIC. AC.
Entity Individual
Enumeration date 07/05/2014
Last updated 08/24/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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