LISA ANN BLACKLIDGE PA-C NPI 1275596728

NPI Information

Lisa Ann Blacklidge, PA-C is a surgical physician assistant in Bradenton, FL. Lisa Ann Blacklidge, PA-C NPI is 1275596728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

206 2ND ST E
BRADENTON, FL
ZIP 34208-042
Phone: (941) 746-5111
Fax: (941) 745-7233

The NPI 1275596728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 9/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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