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
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone: (734) 936-4000
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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 |
| Mailing address | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 |
Other providers in Ann Arbor
-
Cylaina Emmanuelle Bird
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (796) 073-4647
-
Ashta Narain Birgy, MD
1500 E Medical Center Drive Uh South F-6245, Ann Arbor, MI 48109 · (734) 764-6879
-
Sonali Biswas, MDMPHS
1500 E Medical Center Dr Spc 5340, Ann Arbor, MI 48109-5340 · (734) 936-5895
-
Morgan Black
3475 Plymouth Rd, Ann Arbor, MI 48105-2550 · (734) 995-4826
-
Catherine Sheila Blaha
1500 E Medical Center Dr Bldg SPC5848, Ann Arbor, MI 48109-5000 · (215) 823-4133
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Kayla Blaise
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000
-
Eric Blake, MD
400 E Eisenhower Pkwy, Ann Arbor, MI 48108-3302 · (734) 539-5080
-
Alan Blankenship, MD
1500 E Medical Center Dr 1910 Taubman Ctr, Ann Arbor, MI 48109-5000 · (734) 936-4048