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Organization
LAURIE BLANSCET, DO AN OSTEOPATHIC CORPORATION
Active
Organization
LAURIE BLANSCET, DO AN OSTEOPATHIC CORPORATION
Active
Other names
Summit Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE BLANSCET D.O. (PHYSICIAN)
(951) 461-3021
Entity
Organization
Contact information
Practice address
29995 TECHNOLOGY DR, SUITE 201, MURRIETA, CA 92563-2632
(951) 461-3021
(951) 461-8898
Mailing address
29995 TECHNOLOGY DR, SUITE 201, MURRIETA, CA 92563-2632
(951) 461-3021
(951) 461-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10942752
CAQH
CA
01
—
DG7185
MEDICARE RAILROAD GROUP NO.
CA
Enumeration date
12/06/2006
Last updated
06/07/2019
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