Blanchard, Leisa Dawn

Blanchard, Leisa Dawn is an individual health care provider with primary practice located at 1307 S Main St , Lockwood MO 65682-8327. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blanchard, Leisa Dawn can be contacted via phone (417) 232-4560.

Contact Information

Primary practice address
1307 S Main St Lockwood MO 65682-8327
Phone: (417) 232-4560
Fax: (417) 232-4611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 142484 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015034072 Missouri

Profile Details

NPI number 1861693640
LBN Legal business name Blanchard, Leisa Dawn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Feb 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861693640 NPPES
Missouri MEDICAID 359160504
Missouri MEDICAID 1861693640

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