LLOYD W. BLAKE

MERIDIAN, ID
NPI1487730735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: ID  M11127)
Additional Taxonomies207RS0012X Internal Medicine, Sleep Medicine
(Licence: ID  M11127)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: ID  M11127)
Enumeration Date2006-10-30
Last Update Date2017-04-04
Business Address
-- LLOYD W. BLAKE MD
2347 E GALA ST
MERIDIAN, ID 83642-4881
Phone number: 208-323-3767
Mailing Address
-- LLOYD W. BLAKE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222