Most Relevant Information
Provider Data
| NPI Number: | 1003384496 |
| Provider Name: | BLAKE E LAMKIN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86108332 |
Most Important Dates
| Enumeration Date: | 11/05/2018 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
760 CYPRESS AVE STE 303
REDDING
CA
960012743
Practice Location Phone/Fax
| Phone: | 5304100147 |
| Fax: | 5307108388 |
Provider Mailing Location
215 LAKE BLVRD PO #40
REDDING
CA
960033811
Provider Mailing Phone/Fax
| Phone: | 5304100147 |
| Fax: | 5307108388 |