Physician Assistant, Surgical
LISA BLACKLIDGE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275596728 · enumerated 2006-04-07 · record updated 2022-07-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: LISA BUCHIANICO
Addresses and phones
- Practice location 206 2ND ST E, BRADENTON, FL, 34208-1042 (941) 746-5111 Fax (941) 745-7233 Google Maps Apple Maps OpenStreetMap
- Mailing address 367 S. GULPH RD, ATT IPM CREDENTIALING, KING OF PRUSSIA, PA, 19406-3121 (775) 356-9393 Fax (775) 356-5590 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA9101122 FL
In this directory
Locations and evidence
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Practice location
BRADENTON, FL, 342081042
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.