Individual
MRS. LAURIE LYNN BLANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
(914) 919-9200
(833) 913-2393
Mailing address
275 AXIS CIR, FREDERICKSBURG, TX 78624-2792
(512) 787-7673
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP132192
TX
Other
Enumeration date
08/14/2016
Last updated
09/09/2025
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