Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Lee Blalock, IDC

Individual provider Independent Duty Corpsman · NPI 1447557657

Andrew Lee Blalock, IDC is an Independent Duty Corpsman in Niantic, Connecticut. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

97 W Main St Apt 47
Niantic, CT 06357-1749
Phone: (305) 492-5489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1447557657
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESFebruary 24, 2011