# MRS. ANITA LORRAINE BLANCHARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962636407
- **Gender:** F
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1580-613T | LA | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 01/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2125061 | MEDICARE | LA |
| 05 | — | 4R167 | — | LA |