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

Lisa M Black, PA

Individual provider Physician Assistant · NPI 1205098811

Lisa M Black, PA is a Physician Assistant in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2008.

Licensed in
VT
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 Colchester Ave Uvm Medical Center Emergency Dept
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031258 (VT)

Record details

NPI number1205098811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESApril 3, 2017

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