Individual
LAUREN A BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1403
(207) 858-8121
(207) 474-3648
Mailing address
149 MAIN ST, STE 2A, WINTHROP, ME 04364-1486
(207) 624-3800
(207) 624-3845
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA001175
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447480264
—
ME
Enumeration date
07/15/2009
Last updated
05/08/2025
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