| NPI | 1821649781 |
|---|---|
| Other Name | L. BLAKE PRICE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3969) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 3969) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-07-10 |