Healthcare Provider Details

I. General information

NPI: 1780170134
Provider Name (Legal Business Name): LYNSI CHERIE BLANCHARD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NAPOLEON AVE STE 590
NEW ORLEANS LA
70115-8209
US

IV. Provider business mailing address

PO BOX 51
LAROSE LA
70373-0051
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-4910
  • Fax:
Mailing address:
  • Phone: 504-842-4910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: