Lisle Blackbourn
Lisle Blackbourn is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2022.
- Licensed in
- IL, MI
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
Ann Arbor, MINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 4301515945 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 90200000X (IL) |
Record details
| NPI number | 1043960156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2022 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
Other providers in Ann Arbor
-
Cylaina Emmanuelle Bird
Student / training record Ann Arbor, MI
-
Ashta Narain Birgy, MD
Student / training record Ann Arbor, MI
-
Sonali Biswas, MDMPHS
Student / training record Ann Arbor, MI
-
Morgan Black
Student / training record Ann Arbor, MI
-
Catherine Sheila Blaha
Student / training record Ann Arbor, MI
-
Kayla Blaise
Student / training record Ann Arbor, MI
-
Eric Blake, MD
Student / training record Ann Arbor, MI
-
Alan Blankenship, MD
Student / training record Ann Arbor, MI