Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Christine Blacklock, MD

Individual provider Diagnostic Radiology Physician · NPI 1174785364

Lisa Christine Blacklock, MD is a Diagnostic Radiology in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2005, 21 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
21
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Department Of Radiology 1 University Of New Mexico MSC10 5530
Albuquerque, NM 87131-0001
Phone: (505) 272-2269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence MZ2011-0401 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MZ2011-0401 (NM)

Record details

NPI number1174785364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2008
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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