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Individual

MRS. LAURA CARR BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
Mailing address
PO BOX 4051, HOUMA, LA 70361-4051
(985) 917-3007
(985) 917-3007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06387
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01550284
MS
05
2399241
LA
Enumeration date
07/09/2013
Last updated
12/29/2016
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