Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence Andrew Blelloch, PA

Individual provider Physician Assistant · NPI 1245287416

Lawrence Andrew Blelloch, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 1994, 32 years ago. Practices with Dlp Maria Parham Physician Practices LLC, a 53-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4420 Lake Boone Trl Ste 203
Raleigh, NC 27607-7505
Phone: (919) 784-2930
Fax: (919) 784-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6512 Six Forks Rd, Raleigh, NC 27615-6561 — (919) 870-8845
  • 2010 Baldwin Ln, Winston Salem, NC 27103-5846 — (336) 277-1717

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101803 (NC)

Record details

NPI number1245287416
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Dlp Maria Parham Physician Practices Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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