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1760749683
LISA ANN BLACKWOOD
LAKEWOOD, CO
NPI
1760749683
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Former Name
LISA ANN DEININGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: CO 0060806)
Enumeration Date
2012-04-17
Last Update Date
2018-07-31
Business Address
LISA ANN BLACKWOOD M.D., M.S.
3455 S YARROW ST
LAKEWOOD, CO 80227
Phone number: 303-989-5231
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Mailing Address
LISA ANN BLACKWOOD M.D., M.S.
1300 LARK ST
NEW ORLEANS, LA 70122-2238
Phone number: 504-343-2313
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