Individual
LAWRENCE D BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7451 CHAPEL AVE, FORT WORTH, TX 76116-7090
(817) 294-7444
(817) 294-7172
Mailing address
PO BOX 170129, ARLINGTON, TX 76003-0129
(713) 816-9760
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
58320
TN
207L00000X
Anesthesiology Physician
Primary
K5458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116473306
—
TX
Enumeration date
01/19/2007
Last updated
07/26/2022
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