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Individual
MRS. ANITA LORRAINE BLANCHARD
Active
Individual
MRS. ANITA LORRAINE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1580-613T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125061
MEDICARE
LA
05
—
4R167
—
LA
Enumeration date
05/13/2009
Last updated
01/22/2024
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