National Provider Identifier
Lisa Fanton, LPN
Lisa Fanton, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 471-4676.
Profile Overview
- NPI
- 1477097343
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 13, 2016
- Last Updated
- December 13, 2016
Practice Location
- 219 Viking Way Apt C3
- Brockport, NY 14420-2433
Phone: (585) 471-4676
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477097343
- Entity Type
- Individual
- Last Name
- Fanton
- First Name
- Lisa
- Credential
- LPN
- Mailing Street Address
- 219 Viking Way Apt C3
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2433
- Mailing Country
- US
- Mailing Phone
- (585) 471-4676
- Practice Street Address
- 219 Viking Way Apt C3
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2433
- Practice Country
- US
- Practice Phone
- (585) 471-4676
- Enumeration Date
- December 13, 2016
- Last Updated
- December 13, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)