National Provider Identifier
Lisa Bacon
Lisa Bacon is listed in the NPPES registry with a primary specialty of Social Worker in Cuba, NY and a listed phone number of (585) 968-8600.
Profile Overview
- NPI
- 1790320430
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 15, 2019
- Last Updated
- November 15, 2019
Practice Location
- 36 Water St
- Cuba, NY 14727-1023
Phone: (585) 968-8600
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1790320430
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Lisa
- Mailing Street Address
- 36 Water St
- Mailing City
- Cuba
- Mailing State
- NY
- Mailing ZIP Code
- 14727-1023
- Mailing Country
- US
- Practice Street Address
- 36 Water St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1023
- Practice Country
- US
- Practice Phone
- (585) 968-8600
- Enumeration Date
- November 15, 2019
- Last Updated
- November 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)