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

Blake Randall Lavespere, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1457919409

Blake Randall Lavespere, PHYSICIANASSISTANT is a Physician Assistant in Metairie, Louisiana. Qualified in 2019, 7 years ago. Practices with Dr Douglas Mehaffie MD LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

4315 Houma Blvd Ste 401
Metairie, LA 70006-2941
Phone: (504) 702-3000
Fax: (504) 889-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 W Robert E Lee Blvd Ste 100, New Orleans, LA 70124-2418 — (504) 822-9456

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457919409
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dr Douglas Mehaffie Md Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Metairie