SearchMichiganStudent in an Organized Health Care Education/Training Program

Lisle Blackbourn

NPI 1043960156 · on the registry since 2022

Practice

Address
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone
(734) 936-4000
Organisation at this address
University Of Michigan
University Of Michigan
University Of Michigan
University Of Michigan Hospital
University Of Michigan Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5,900

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Licence states on file
IL, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan