National Provider Identifier
Lisa Delucia Bruno, DDS
Lisa Delucia Bruno, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Webster, NY and a listed phone number of (585) 872-0150.
Profile Overview
- NPI
- 1740442672
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- July 01, 2008
- Last Updated
- July 06, 2024
Practice Location
- 1110 Crosspointe Ln Ste D
- Webster, NY 14580-2968
Phone: (585) 872-0150
Specialties
- Pediatric Dentistry (1223P0221X)
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1740442672
- Entity Type
- Individual
- Last Name
- Bruno
- First Name
- Lisa
- Middle Name
- Delucia
- Name Prefix
- Dr.
- Credential
- DDS
- Provider Other Last Name
- Delucia
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- M
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- DDS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1110 Crosspointe Ln Ste D
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2968
- Mailing Country
- US
- Mailing Phone
- (585) 872-0150
- Mailing Fax
- (585) 872-6183
- Practice Street Address
- 1110 Crosspointe Ln Ste D
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2968
- Practice Country
- US
- Practice Phone
- (585) 872-0150
- Practice Fax
- (585) 872-6183
- Enumeration Date
- July 01, 2008
- Last Updated
- July 06, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X), Pediatric Dentistry (1223P0221X)