Dr LISA C BLACKLOCK is a female medical professional, specializing in Diagnostic Radiology. She graduated in 2005 from University Of New Mexico School Of Medicine.
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE
NM
871062745
Tel: 5052722111
| Npi | 1174785364 |
| Pac Id | 6103097175 |
| Professional Enrollment Id | I20110922000703 |
| Last Name | BLACKLOCK |
| First Name | LISA |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | NUCLEAR MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | NUCLEAR MEDICINE |
| Organization Legal Name | UNM MEDICAL GROUP INC |
| Group Practice Pac Id | 4981795267 |
| Number Of Group Practice Members | 851 |
| Line 1 Street Address | 2211 LOMAS BLVD NE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871062745 |
| Phone Number | 5052722111 |
| Hospital Affiliation Ccn 1 | 320001 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF NEW MEXICO HOSPITAL |
| Hospital Affiliation Ccn 2 | 320089 |
| Hospital Affiliation Lbn 2 | UNM SANDOVAL REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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