Provider Demographics
NPI:1659634772
Name:BLANKENSHIP, LEANN MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEANN
Middle Name:MICHELLE
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2345 COUNTRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-7319
Mailing Address - Country:US
Mailing Address - Phone:925-418-0282
Mailing Address - Fax:925-978-0991
Practice Address - Street 1:400 TAYLOR BLVD STE 201
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2163
Practice Address - Country:US
Practice Address - Phone:925-687-2570
Practice Address - Fax:925-687-2847
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2021-12-09
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Provider Licenses
StateLicense IDTaxonomies
MI4301107781207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty