Provider Demographics
NPI:1689018939
Name:BLANCHARD, DEANNA KAY (MD)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:KAY
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 EUREKA DR
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-3247
Mailing Address - Country:US
Mailing Address - Phone:985-873-4729
Mailing Address - Fax:985-873-4728
Practice Address - Street 1:115 EUREKA DR
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-3247
Practice Address - Country:US
Practice Address - Phone:985-873-4729
Practice Address - Fax:985-873-4728
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA303322207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine