LISA MARIE CORNELL


Address: 1230 Route 31, Apt 3, Bridgeport, NY 13030
Phone: 3154400944

LISA MARIE CORNELL (NPI# 1053590083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053590083
Entity Type Individual
Full Name LISA MARIE CORNELL
Credential LPN
Practice Address 1230 Route 31
Apt 3
Bridgeport
NY 13030
Practice Telephone 3154400944
Mailing Telephone 3154400944
Enumeration Date 2007-10-26
Last Update Date 2007-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 283558 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02877778 05

Other Providers LISA CORNELL

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1770989899 Lisa Cornell Specialist 54 Brown Blvd, Wheatley Hts, NY 11798-1520 2014-11-17
1841547221 Lisa Cornell Speech-Language Pathologist 19642 Ridgemont Dr, Tinley Park, IL 60487-7096 2012-08-05
1396116323 Lisa Cornell Counselor 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 2015-10-16

Office Location

Street Address 1230 ROUTE 31
APT 3
City BRIDGEPORT
State NY
Zip Code 13030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629300819 Michael Clary Pharmacist 7998 State Rt. 31, Bridgeport, NY 13030 2010-02-12
1245394857 Dr Gary H Finnerty Dds PC Dentist 7820 Kneeskern Rd, Bridgeport, NY 13030 2006-12-20
1386718369 V Irginia Ann Lewis Licensed Practical Nurse 7893 Oneida Trl, Bridgeport, NY 13030-8403 2006-11-20
1578897336 Nicole Azzarello Pharmacist 7998 State Route 31, Bridgeport, NY 13030-8438 2009-09-28
1720477896 Kari Davis Pharmacist 7998 State Route 31, Bridgeport, NY 13030-8438 2015-01-13
1427399724 Linda Anne Lang Licensed Practical Nurse 7895 Macarthur Blvd, Bridgeport, NY 13030-9412 2013-03-12
1902913189 Kph Healthcare Services, Inc. Pharmacy 7998 Route 31, Bridgeport, NY 13030-9473 2006-08-24
1487838553 Timothy Walsh Pharmacist 7998 Route 31, Bridgeport, NY 13030-9473 2007-12-24
1235566266 Lauren Elizabeth Brancato Registered Nurse 9158 North Rd, Bridgeport, NY 13030-9601 2013-10-04
1801911649 Beth P Norman Registered Nurse 411 Foxtract Rd, Bridgeport, NY 13030-9618 2007-03-20
Find all providers in zip 13030

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508422528 Jeremiah J Vallender Licensed Practical Nurse 7560 Moorish Rd, Bridgeport, MI 48722-9769 2019-05-15
1972904191 Olga Howlett Licensed Practical Nurse 72 Bell St, Bridgeport, CT 06610-2716 2014-09-08
1497196844 Michelle Young Licensed Practical Nurse 74 Laurel Pl, Bridgeport, CT 06604-1716 2013-07-15
1053756718 Felicia Nichols Licensed Practical Nurse 315 Dayton Rd, Bridgeport, CT 06606-3158 2013-05-07
1427399724 Linda Anne Lang Licensed Practical Nurse 7895 Macarthur Blvd, Bridgeport, NY 13030-9412 2013-03-12
1588915557 Julian Natalie Downey Licensed Practical Nurse 272 Maplewood Ave, 2fl, Bridgeport, CT 06605-1304 2012-09-30
1255689972 Pauline Patricia Coore Licensed Practical Nurse 38 Higgins Ave, Bridgeport, CT 06606-3716 2012-08-28
1710253950 Joseph Anthony Stichka Licensed Practical Nurse 705 Q St, Bridgeport, NE 69336-4041 2012-03-30
1457626707 Althea Jacqueline Harris Licensed Practical Nurse 87 Bronx Ave, 2nd. Fl, Bridgeport, CT 06606-4604 2012-03-20
1629343660 Everest L Small-williams Licensed Practical Nurse 167 Morningside Dr, Bridgeport, CT 06606-4619 2012-03-08
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 13030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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