Individual provider · Type 1 NPI
Lisa Lallier Blackwelder, FNP
Family Nurse Practitioner · Colorado Springs, CO
NPI number
1396990164
Active
Practice location
7610 N Union Blvd Ste 140
Colorado Springs, CO 80920-3894
Fax (719) 591-2864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 579092 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022011328 (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | APN.0992320-NP (CO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1396990164
Lisa Lallier Blackwelder, FNP's National Provider Identifier is 1396990164, issued on Nov 20, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 3, 2022.