Lucius Blanchard
MOHS-Micrographic Surgeon
4488 S Pecos Rd
Las Vegas
, Nevada 89121-5030
Lucius Blanchard
MOHS-Micrographic Surgeon
4488 S Pecos Rd
Las Vegas
, Nevada 89121-5030
(949) 783-2880
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Lucius Blanchard
- 2285 Corporate Cir 200
- Henderson, NV
- Zip : 89074-7759
- Fax : (949) 783-2880
- Phone : (702) 360-2100
Second Address
- Lucius Blanchard
- 4488 S Pecos Rd
- Las Vegas, NV
- Zip : 89121-5030
- Fax : (702) 436-7999
- Phone : (702) 436-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 3617 | NV |
National Provider Identifier
| NPI | 1134147853 |
|---|---|
| Provider Name | Lucius Blanchard |
| First Address | Henderson, NV 89074-7759 |
| Second Address | Las Vegas, NV 89121-5030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 14/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070008523 | RAILROAD MEDICARE (01) | NV |
| C95802 | (02) | |
| P00660180 | MEDICARE RAILROAD AZ (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.