Individual provider · Type 1 NPI

Lisa Fanton, LPN

Licensed Practical Nurse · Brockport, NY

NPI number 1477097343 Active

Practice location

219 Viking Way Apt C3
Brockport, NY 14420-2433

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X251344-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477097343

Lisa Fanton, LPN's National Provider Identifier is 1477097343, issued on Dec 13, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brockport, NY. The record was last updated on Dec 13, 2016.