Sandra Lherisson Blake, CRNA | |
100 Medical Dr, Lake Jackson, TX 77566-5674 | |
(979) 285-1804 | |
Not Available |
Full Name | Sandra Lherisson Blake |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Medical Dr, Lake Jackson, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548456296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 661877 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Sandra Lherisson Blake, CRNA 188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160 Ph: () - | Sandra Lherisson Blake, CRNA 100 Medical Dr, Lake Jackson, TX 77566-5674 Ph: (979) 285-1804 |
Patricia Kilian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Drive, Lake Jackson, TX 77566 Phone: 979-297-4411 | |
Andrew Gunter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 109 Parking Way St, Lake Jackson, TX 77566 Phone: 979-292-0033 |