Individual
LUCIUS BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4488 S PECOS RD, LAS VEGAS, NV 89121-5030
(702) 436-1001
(702) 436-7999
Mailing address
9900 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0928
(702) 360-2100
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
3617
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008523
RAILROAD MEDICARE
NV
01
—
P00660180
MEDICARE RAILROAD AZ
AZ
Enumeration date
07/18/2006
Last updated
07/09/2025
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