DR. Lisa Denise Blackmon, DDS
NPI #1235205527 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1235205527
- Entity Type
- Individual
- Name
- DR. Lisa Denise Blackmon, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Oct 26, 2009
Practice Location
- Address
- 3729 LEE ROAD
- Address 2
- SHAKER HEIGHTS DENTAL EXPRESS
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44120
- Phone
- (216) 751-9922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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