Individual
DR. LARRY NATHANIEL BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
7926 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 469-6919
Mailing address
1401 E 360 N, ANDERSON, IN 46012-9611
(765) 639-2956
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002915A
IN
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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