Individual
DR. ELIZABETH ANN DANNEBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
500 DAVISON RD, LOCKPORT, NY 14094-4021
(716) 434-8063
(716) 434-2845
Mailing address
500 DAVISON RD, LOCKPORT, NY 14094-4021
(716) 434-8063
(716) 434-2845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007844-1
NY
Other
Enumeration date
06/25/2012
Last updated
09/09/2019
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