Lucas Blanchard

NPI #1932774874 in Columbia Heights, Minnesota

Provider Information

NPI Number: 1932774874
Entity Type: Individual
Name: Lucas Blanchard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 3801 HART BLVD
City: Columbia Heights
State: Minnesota
ZIP Code: 55421-4106
Phone: (612) 364-1901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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