NPI

Leah Janine Blake

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2015-04-14
Last updated
2024-05-08

Specialties

Licenses

License MT
100092
License CO
CDRH.0062081
License ID
OC-0451

Location

Practice location
9850 W St Lukes Dr
City
Nampa ID
Postal code
83687-7912
Phone
(208) 205-7282

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Nampa, ID. 2,765 records in the public file.

Removal request

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