Lisa M Black, PA
Physician Assistant in Burlington, Vermont
1205098811- Practice location
- 111 Colchester Ave, Uvm Medical Center Emergency Department, Burlington, VT 05401-1473
- Phone
- 802-847-0000
- Fax
- —
- Last updated
- April 3, 2017
Lisa M Black is a Physician Assistant based in Burlington, VT. Lisa M Black practices in Burlington, VT and has the professional credentials of PA. The NPI Number for Lisa M Black is 1205098811 and holds a License No. 055.0031258 (VT). The current practice location address for Lisa M Black is 111 Colchester Ave, Uvm Medical Center Emergency Department, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-0000.
Provider Profile Details
- NPI Number
- 1205098811
- Provider Name
- Lisa M Black
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Colchester Ave, Uvm Medical Center Emergency Department, Burlington, VT 05401-1473
- Phone Number
- 802-847-0000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Lisa Blom (Former Name)
- Provider Enumeration Date
- June 26, 2008
- Last Update Date
- April 3, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Colchester Ave
Uvm Medical Center Emergency Department
Burlington, VT 05401-1473 - City
- Burlington
- State
- Vermont
- Zip
- 05401-1473
- Phone Number
- 802-847-0000
Provider Business Mailing Address Details
- Address
- 617 Riverside Ave
Burlington, VT 05401-1601 - City
- Burlington
- State
- VT
- Zip
- 05401-1601
- Phone Number
- 802-864-6309
- Fax Number
- 802-860-4313
License Information
- License Number
- 055.0031258
- License State
- VT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa M Black, PA?
The NPI number of Lisa M Black, PA is 1205098811. It was assigned on June 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Lisa M Black, PA?
Lisa M Black, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031258.
Where does Lisa M Black, PA practice?
The practice location is 111 Colchester Ave, Uvm Medical Center Emergency Department, Burlington, VT 05401-1473. The office can be reached at 802-847-0000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205098811 directly on the NPPES registry website.