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

Blake Laird

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710746334

Blake Laird is a Student in an Organized Health Care Education/Training Program in O Fallon, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710746334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284

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