Sandra Lherisson Blake, CRNA is a
Nurse Anesthetist, Certified Registered based in Lake Jackson, Texas. Sandra Lherisson Blake is licensed to practice in Texas (license number 661877) and her current practice location is
100 Medical Dr, Lake Jackson, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 285-1804.
NPI number for Sandra Lherisson Blake is 1548456296 and her current mailing address is 188 Abner Jackson Pkwy, Lake Jackson, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548456296.
Provider's Profile
| Full Name | Sandra Lherisson Blake |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 100 Medical Dr, Lake Jackson, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548456296
- Provider Enumeration Date: 09/17/2007
- Last Update Date: 09/17/2007
Medical Identifiers
Medical identifiers for Sandra Lherisson Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548456296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 661877 (Texas) | 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. Sandra Lherisson 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 |
Sandra Lherisson Blake, CRNA 188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160 Ph: Not Available | Sandra Lherisson Blake, CRNA 100 Medical Dr, Lake Jackson, TX 77566-5674 Ph: (979) 285-1804 |
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