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Contact Information

LEISA D BLANCHARD, FNP-C
1307 S MAIN ST
LOCKWOOD, MO65682-8327
 Phone: 417-232-4560
 Fax: 417-232-4611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for LEISA D BLANCHARD · (Female)

NPI # 1861693640
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 05/30/2007
Last updated 02/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 142484
  • MO License # 2015034072
  • MO Medicaid 1861693640
  • MO Medicaid 359160504
Hospital affiliation(s)
  • BARTON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    29 NW 1ST LANE
    LAMAR, MO 64759
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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