LISA M BLASKO

NORTH COUNTRY HEALTHCARE INC

Dr LISA M BLASKO is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

NORTH COUNTRY HEALTHCARE INC

625 N 13TH
SAINT JOHNS
AZ
85936

Tel: 9285229804

LISA M BLASKO Information

Npi 1245646629
Pac Id 9638390453
Professional Enrollment Id I20141021000523
Last Name BLASKO
First Name LISA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH COUNTRY HEALTHCARE INC
Group Practice Pac Id 8820981053
Number Of Group Practice Members 69
Line 1 Street Address 625 N 13TH
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT JOHNS
State AZ
Zip Code 85936
Phone Number 9285229804
Hospital Affiliation Ccn 1 030069
Hospital Affiliation Lbn 1 HAVASU REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 030023
Hospital Affiliation Lbn 2 FLAGSTAFF 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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