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Mrs. Lisa Lallier Blackwelder, FNP
Family Nurse Practitioner in Colorado Springs, Colorado
NPI 1396990164

Lisa Lallier Blackwelder is a Family Nurse Practitioner based in Colorado Springs, CO and is specialized in Family. Lisa Lallier Blackwelder practices in Colorado Springs, CO and has the professional credentials of FNP. The NPI Number for Lisa Lallier Blackwelder is 1396990164 and holds a License No. 579092 (Colorado).

The current practice location address for Lisa Lallier Blackwelder is 7610 N Union Blvd Ste 140, Colorado Springs, CO and can be reached out via phone at 719-550-1172 and via fax at 719-591-2864.

Location: 7610 N Union Blvd Ste 140, Colorado Springs, CO, 80920-3894
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Provider Profile Details
NPI Number
1396990164
Provider Name
Lisa Lallier Blackwelder
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
7610 N Union Blvd Ste 140, Colorado Springs, CO, 80920-3894
Phone Number
719-550-1172
Fax Number
719-591-2864
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
579092 01 TX FAMILY NURSE PRACTITIONER
9000191726 05 CO
75-2616977-028 01 TX TRICARE
7508181567022 01 TX TRICARE
070853903 05 TX
75-2616977-001 01 TX TRICARE
75-2616977-002 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
7610 N Union Blvd Ste 140
City
State
Zip
80920-3894
Phone Number
719-550-1172
Fax Number
719-591-2864
person
Provider Business Mailing Address Details
Address
7610 N Union Blvd Ste 140
City
State
Zip
80920-3894
Phone Number
719-550-1172
Fax Number
719-591-2864
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2022011328 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
579092 (Texas)
Definition
Definition to come...
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