Dr LISA RENEE BLACKWOOD is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2003.
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
132 VILLAGE CTR RD
HARLAN
KY
408311777
Tel: 6065737771
| Npi | 1912298191 |
| Pac Id | 5496997249 |
| Professional Enrollment Id | I20190429002128 |
| Last Name | BLACKWOOD |
| First Name | LISA |
| Middle Name | RENEE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | MOUNTAIN COMPREHENSIVE HEALTH CORPORATION |
| Group Practice Pac Id | 7618875873 |
| Number Of Group Practice Members | 46 |
| Line 1 Street Address | 132 VILLAGE CTR RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HARLAN |
| State | KY |
| Zip Code | 408311777 |
| Phone Number | 6065737771 |
| Hospital Affiliation Ccn 1 | 180050 |
| Hospital Affiliation Lbn 1 | HARLAN ARH HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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