Blackwood, Lisa Renee

Blackwood, Lisa Renee is an sole proprietor health care provider with primary practice located at 132 Village Center Rd , Harlan KY 40831. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Blackwood, Lisa Renee can be contacted via phone (606) 573-7771.

Contact Information

Primary practice address
132 Village Center Rd Harlan KY 40831
Phone: (606) 573-7771
Fax: (606) 573-2809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 261223 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 52468 Kentucky

Profile Details

NPI number 1912298191
LBN Legal business name Blackwood, Lisa Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2011
Last updated Oct 5th, 2023 - about 3 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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