Individual
LISA LYNN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
02008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02008
TEXAS MIDWIFERY LICENSE
TX
Enumeration date
01/18/2010
Last updated
01/18/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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