SearchArkansas103TC0700X

Lisa Blackman, PH.D

NPI 1255323838 · on the registry since 2005

Practice

Address
314 Mdos/ Sgoh
1090 Arnold Drive
Little Rock Afb, AR 72099
Phone
(501) 987-7338
Fax
(501) 987-8087

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-17

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 Arkansas