Blacklock, Lisa Christine

Blacklock, Lisa Christine is an individual health care provider with primary practice located at Department Of Radiology 1 University Of New Mexico Msc10 5530, Albuquerque NM 87131-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Blacklock, Lisa Christine can be contacted via phone (505) 272-2269.

Contact Information

Primary practice address
Department Of Radiology 1 University Of New Mexico Msc10 5530 Albuquerque NM 87131-0001
Phone: (505) 272-2269
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MZ2011-0401 New Mexico
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MZ2011-0401 New Mexico

Profile Details

NPI number 1174785364
LBN Legal business name Blacklock, Lisa Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2008
Last updated Jul 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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