Provider Demographics
NPI:1659178101
Name:UVINO CHAPMAN, LISA M (LPN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:UVINO CHAPMAN
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 OLD ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12413-2661
Mailing Address - Country:US
Mailing Address - Phone:518-795-0834
Mailing Address - Fax:
Practice Address - Street 1:141 OLD ROUTE 23
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12413-2661
Practice Address - Country:US
Practice Address - Phone:518-795-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2244825164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty