LAWRENCE DAVID BLAKE

ERIE, PA
NPI1851423313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  ds019300-l)
Enumeration Date2007-03-11
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE DAVID BLAKE dds
1745 W GRANDVIEW BLVD
ERIE, PA 16509-1101
Phone number: 814-868-5197
Mailing Address
Dr. LAWRENCE DAVID BLAKE dds
5139 RIDGEDALE DR
ERIE, PA 16506-6115
Phone number: 814-833-4884
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