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.
Physician's Profile
Full Name | Loren Blake |
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Gender | Female |
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Speciality | General Practice |
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Location | 213 Winding Pond Rd, Londonderry, New Hampshire |
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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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