Individual
LISA D BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
925 ROUTE 73 N STE D, MARLTON, NJ 08053-1277
(856) 428-1477
Mailing address
925 ROUTE 73 N STE D, MARLTON, NJ 08053-1277
(856) 428-1477
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08269800
NJ
Other
Enumeration date
05/02/2006
Last updated
03/28/2025
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