NPI 1760749683 · live from the CMS NPI Registry
Lisa Ann Blackwood, M.D., M.S.
Dermatology in Lakewood, CO. National Provider Identifier 1760749683, active.
NPI record
| NPI | 1760749683 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3455 S Yarrow St, Lakewood, CO 80227 |
| Practice phone | 303-989-5231 |
| Mailing address | 1300 Lark St, New Orleans, LA 70122 |
| Enumerated | April 17, 2012 |
| Last updated | July 31, 2018 |
| Sole proprietor | Yes |
| Other names | Lisa Deininger |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 0060806 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.