| Mrs Lisa Lowry Blake, CNM | |
|
4901 Dawn Dr Ste 3200, Lumberton, NC 28360-8288 | |
| (910) 735-8040 | |
| Not Available |
| Full Name | Mrs Lisa Lowry Blake |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4901 Dawn Dr Ste 3200, Lumberton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215153168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 363 (North Carolina) | Primary |
| Entity Name | Southeastern Regional Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Lowry Blake, CNM 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Mrs Lisa Lowry Blake, CNM 4901 Dawn Dr Ste 3200, Lumberton, NC 28360-8288 Ph: (910) 735-8040 |
Dana E. Taylor, WHNP-BC, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 800 Oakridge Blvd, Lumberton, NC 28358 Phone: 910-738-2454 Fax: 910-272-7165 | |
Mrs. Mandesa Malika Smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4300 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-608-3078 Fax: 910-608-3079 | |
Michelle Rising Cox, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 460 Country Club Rd, Lumberton, NC 28360 Phone: 910-671-3200 | |
Mrs. Judith Ann Locklear, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4901 Dawn Dr Ste 3200, Lumberton, NC 28360 Phone: 910-735-8040 Fax: 910-725-8045 | |
Larissa Sheree Addison, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Dawn Dr Ste 3200, Lumberton, NC 28360 Phone: 910-735-8040 | |
Mrs. Monica Locklear Oxendine, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4901 Dawn Dr Ste 3200, Lumberton, NC 28360 Phone: 910-735-8040 Fax: 910-735-8045 |