LISA FANTON LPN
NPI 1477097343
Licensed Practical Nurse in Brockport, NY

Q: What is Lisa Fanton's NPI number?

The NPI number for Lisa Fanton is 1477097343. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Q: What is Lisa Fanton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fanton was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2016

219 VIKING WAY APT C3, BROCKPORT, NY 14420(585) 471-4676 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lisa Fanton Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA FANTON LPN (NPI 1477097343) is an individual licensed practical nurse in Brockport, New York, licensed in New York (251344-1) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1477097343

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLISA FANTONCredential: LPN

Location Address219 VIKING WAY APT C3Brockport, NY 14420-2433

Mailing Address219 Viking Way Apt C3Brockport, NY 14420-2433 · (585) 471-4676

Phone(585) 471-4676

Sole ProprietorYes

Enumeration DateDecember 13, 2016

✔ NPI 1477097343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 251344-1

Definition

A licensed practical nurse 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.

219 VIKING WAY APT C3, Brockport, NY 14420

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fanton's NPI number?

The NPI number for Lisa Fanton is 1477097343. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Lisa Fanton located?

Lisa Fanton practices at 219 Viking Way Apt C3, Brockport, NY 14420. The listed phone number is (585) 471-4676.

What is Lisa Fanton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Fanton was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.