Individual
LISA ANN BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
3455 S YARROW ST, LAKEWOOD, CO 80227
(303) 989-5231
Mailing address
1300 LARK ST, NEW ORLEANS, LA 70122-2238
(504) 343-2313
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0060806
CO
Other
Enumeration date
04/17/2012
Last updated
07/31/2018
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