Loren Blake, in Londonderry, NH - General Practice

Loren Blake, is a General Practice physician based in Londonderry, New Hampshire. Loren Blake is licensed to practice in New York (license number 284393) and her current practice location is 213 Winding Pond Rd, Londonderry, New Hampshire. She can be reached at her office (for appointments etc.) via phone at (603) 490-7107.

NPI number for Loren Blake is 1164835229 and her current mailing address is 213 Winding Pond Rd, Londonderry, New Hampshire. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164835229.

Contact Information

	Loren Blake,
	213 Winding Pond Rd, Londonderry, NH 03053-3378
	(603) 490-7107
	Not Available

Physician's Profile

Full Name	Loren Blake
Gender	Female
Speciality	General Practice
Location	213 Winding Pond Rd, Londonderry, New Hampshire
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1164835229
Provider Enumeration Date: 06/06/2014
Last Update Date: 10/19/2016

Medical Identifiers

Medical identifiers for Loren Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164835229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	284393 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loren Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Loren Blake, 213 Winding Pond Rd, Londonderry, NH 03053-3378 Ph: () -	Loren Blake, 213 Winding Pond Rd, Londonderry, NH 03053-3378 Ph: (603) 490-7107

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Loren Blake, - General Practice in Londonderry, NH