NPI 1164835229

Loren Blake

Practitioner General Practice Physician Londonderry, NH

Practice location

Address: 213 Winding Pond Rd, Londonderry, NH 03053-3378
Phone: (603) 490-7107

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 284393 (NY)

Other General Practice providers in New Hampshire →

Registry record

NPI: 1164835229
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2014
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.