DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA CHRISTINE BLACKLOCK, M.D.

Active

LISA CHRISTINE BLACKLOCK, M.D. is a 2085N0904X healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1174785364 is currently active in the NPPES registry. Verify at CMS.

2085N0904X · ALBUQUERQUE, NM

Registration Details

NPI Number
1174785364
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2008 (17.939766146846 yrs)
Last Updated
Jan 13, 2025
Licenses
MZ2011-0401 (NM)
MZ2011-0401 (NM)

Practice Information

Address
DEPARTMENT OF RADIOLOGY
1 UNIVERSITY OF NEW MEXICO MSC10 5530
ALBUQUERQUE, NM, 871310001
Browse NM providers · Browse ZIP 87131
Phone
5052722269
Primary Specialty
2085N0904X
2085N0904X
Additional Specialty
2085N0904X

Other 2085N0904X Providers in ALBUQUERQUE, NM

Name Credential NPI
SHANA ELMAN M.D. 1841432366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.