Type 1 individualNPI 1003197245
MS. LYNEAH R BLAKE-DUNCAN TLLP
103T00000X · PLYMOUTH, MI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 103T00000X | 103T00000X | Primary |
| 103TB0200X | 103TB0200X | Additional |
| 251S00000X | 251S00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s