IndividualActive
Lisa Blacklock, M.D.
NPI 1174785364 · Nuclear Radiology Physician · Albuquerque, NM
Provider details
- NPI number
- 1174785364
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MZ2011-0401 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Department of Radiology
1 University of New Mexico Msc10 5530
Albuquerque, NM 87131-0001
Phone: (505) 272-2269
Approximate (ZIP-level) locationGet directions
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2008-06-28
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.