Provider Demographics
NPI:1154798445
Name:BLANCHER, LAURIE
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:
Last Name:BLANCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 LEMON LN
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1015
Mailing Address - Country:US
Mailing Address - Phone:516-729-2913
Mailing Address - Fax:
Practice Address - Street 1:78 LEMON LN
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1015
Practice Address - Country:US
Practice Address - Phone:516-729-2913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator