Lisa Blake, LIC. AC.
Individual provider Active NPI Acupuncturist · Medford, MA
NPI 1457767907 · NPPES record last updated Aug 24, 2016
Key facts
- NPI
- 1457767907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- Practice address
- 16 Bradlee Rd
Medford, MA 02155-3171 - Phone
- (781) 269-2849
- NPI assigned
- Jul 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blake Acupuncture & Herbal Medicine | Acupuncturist | Current | Accepting new patients |
Locations
16 Bradlee Rd
Medford, MA 02155
Phone (617) 797-6547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Yes |
Addresses
Primary practice location
16 Bradlee Rd
Medford, MA 02155-3171
Mailing address
81 High St # 2
Waltham, MA 02453-0545
Phone (804) 931-8288
Other providers in Medford, MA
- BJ'S Wholesale Club Inc.
- Stephanie S Bjork
- Rhonda Lee Black
- Theresa Blackman
- Blake Acupuncture & Herbal Medicine
- Eugenia Blank
- Joel G Bleier
- Elaine J Block-Pellegrini
- Edith Block
- Helaine Blomberg
All providers in Medford, MA · Acupuncturist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.