Lisa Anne Dannebrock

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

417196 Issued in NY

Practice address

130 Beattie Ave
Lockport, NY 14094-5023

Phone

(716) 478-4780

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1730723313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 KECK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949307",
            "telephone_number": "716-946-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BEATTIE AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945023",
            "telephone_number": "716-478-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEBROCK",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "417196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Currie
• Chelsea Ann Dagostino
• Dale Association
• Patricia J Danaher, M.D.
• Elizabeth Ann Dannebrock, O.D.
• David P. Nichols, M.D., P.C.
• Davison Road Optical Inc
• Davison Road Optical, Inc.
• Juan De Rosas, MD
• Eric Edward Dean, RPAC

• School Registered Nurse in Lockport, NY
• Providers in Lockport, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.