# LAURIE BLANSCET, DO AN OSTEOPATHIC CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518026848
- **Authorized official:** DR. LAURIE BLANSCET D.O. (PHYSICIAN)
- **Authorized official phone:** (951) 461-3021

## Contact information

- **Practice address:** 29995 TECHNOLOGY DR, SUITE 201, MURRIETA, CA 92563-2632
- **Practice address phone:** (951) 461-3021
- **Practice address fax:** (951) 461-8898
- **Mailing address:** 29995 TECHNOLOGY DR, SUITE 201, MURRIETA, CA 92563-2632
- **Mailing address phone:** (951) 461-3021
- **Mailing address fax:** (951) 461-3021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A7007 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 06/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10942752 | CAQH | CA |
| 01 | — | DG7185 | MEDICARE RAILROAD GROUP NO. | CA |