National Provider Identifier
Lisa Domagala, RPA-C
Lisa Domagala, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 677-2273.
Profile Overview
- NPI
- 1083726251
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 31, 2006
- Last Updated
- August 13, 2015
Practice Location
- 500 Sterling Dr
- Orchard Park, NY 14127-1573
Phone: (716) 677-2273
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1083726251
- Entity Type
- Individual
- Last Name
- Domagala
- First Name
- Lisa
- Credential
- RPA-C
- Provider Other Last Name
- Mulhisen
- Provider Other First Name
- Lisa
- Provider Other Credential Text
- RPA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 500 Sterling Dr
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1573
- Mailing Country
- US
- Mailing Phone
- (716) 677-2273
- Mailing Fax
- (716) 677-2256
- Practice Street Address
- 500 Sterling Dr
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1573
- Practice Country
- US
- Practice Phone
- (716) 677-2273
- Practice Fax
- (716) 677-2256
- Enumeration Date
- August 31, 2006
- Last Updated
- August 13, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)