Individual provider · Type 1 NPI

Lisa Diane Blacketter, CRNA

Certified Registered Nurse Anesthetist · Port Lavaca, TX

NPI number 1851630040 Active

Practice location

815 N Virginia St
Port Lavaca, TX 77979-3025

Other practice locations

  • 2701 Hospital Dr, Victoria, TX 77901-5749 · (361) 573-9181

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X209010216 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

19 other providers at this address

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About NPI 1851630040

Lisa Diane Blacketter, CRNA's National Provider Identifier is 1851630040, issued on Feb 7, 2013. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Port Lavaca, TX. The record was last updated on Jul 6, 2026.