Dr OLIVIA PAIGE BLALOCK is a female medical professional, specializing in Registered Dietitian Or Nutrition Professional. She graduated in 2013.
IMPERIAL HEALTH LLP
1727 IMPERIAL BLVD
BLDG 2
LAKE CHARLES
LA
706055362
Tel: 3373103670
| Npi | 1598176653 |
| Pac Id | 2264650027 |
| Professional Enrollment Id | I20140820002202 |
| Last Name | BLALOCK |
| First Name | OLIVIA |
| Middle Name | PAIGE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Organization Legal Name | IMPERIAL HEALTH LLP |
| Group Practice Pac Id | 7719886779 |
| Number Of Group Practice Members | 94 |
| Line 1 Street Address | 1727 IMPERIAL BLVD |
| Line 2 Street Address | BLDG 2 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706055362 |
| Phone Number | 3373103670 |
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| Professional Accepts Medicare Assignment | Y |
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