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1134147853
LUCIUS BLANCHARD
LAS VEGAS, NV
NPI
1134147853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NV 3617)
Enumeration Date
2006-07-18
Last Update Date
2020-07-14
Business Address
LUCIUS BLANCHARD MD
4488 S PECOS RD
LAS VEGAS, NV 89121-5030
Phone number: 702-436-1001
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Mailing Address
LUCIUS BLANCHARD MD
2285 CORPORATE CIR 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2100
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