Individual
LAWRENCE ELEY BLANCHARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6946 FOREST AVE STE 200, RICHMOND, VA 23230-1706
(804) 549-4030
(804) 549-4032
Mailing address
7201 GLEN FOREST DR STE 100, RICHMOND, VA 23226-3759
(804) 549-4030
(804) 549-4032
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101031562
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016023
ANTHEM
—
01
—
0300045
UNITED HEALTHCARE
—
01
—
070014692
RAILROAD MEDICARE
—
01
—
533012
AETNA
—
05
—
5989396
—
VA
01
—
60194
SOUTHERN HEALTH
—
Enumeration date
07/26/2005
Last updated
07/08/2025
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