Individual
LAUREN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 GUY PARK AVE, AMSTERDAM, NY 12010-1043
(518) 841-7432
Mailing address
92 BOCKES RD, GREENFIELD CENTER, NY 12833-1014
(518) 844-6624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
354992
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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