Individual provider · Type 1 NPI

Blake Martin

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1972201432 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Call (603) 650-5000 Map

Mailing address

875 S Donner Way Apt 209
Salt Lake City, UT 84108-2183

Other practice locations

  • 27 S Mario Capecchi Dr, Salt Lake City, UT 84112-5888 · (208) 995-9797

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972201432

Blake Martin's National Provider Identifier is 1972201432, issued on Feb 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Mar 26, 2026.