Individual
LISA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
50 E GLOUCESTER PIKE, BARRINGTON, NJ 08007-1323
(856) 547-4422
(856) 547-0660
Mailing address
414 WEDGEWOOD DR, BLACKWOOD, NJ 08012-1528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00330700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1525535
AMERIHEALTH
NJ
01
—
2318159
UNITEDHEALTHCARE MPIN
NJ
01
—
6889635
CIGNA PPO
NJ
Enumeration date
10/06/2006
Last updated
07/08/2007
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