Provider Demographics
NPI:1932837267
Name:BLANCHARD, LAUREN ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BLANCHARD
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:992 REGENTS PARK DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-9763
Mailing Address - Country:US
Mailing Address - Phone:260-450-8680
Mailing Address - Fax:
Practice Address - Street 1:1620 BRIGHAM DR STE 140
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7124
Practice Address - Country:US
Practice Address - Phone:419-893-2455
Practice Address - Fax:419-891-6296
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2023-11-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant