National Provider Identifier
Lisa Marie Forestal, PA
Lisa Marie Forestal, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-1254.
Profile Overview
- NPI
- 1205975232
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 06, 2007
- Last Updated
- November 25, 2009
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-1254
Mailing Address
- 3435 Main St
- Hayes A
- Buffalo, NY 14214-3001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1205975232
- Entity Type
- Individual
- Last Name
- Forestal
- First Name
- Lisa
- Middle Name
- Marie
- Credential
- PA
- Provider Other Last Name
- Weller
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3435 Main St
- Mailing Address Line 2
- Hayes A
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-3001
- Mailing Country
- US
- Mailing Phone
- (716) 829-3670
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-1254
- Practice Fax
- (716) 859-4586
- Enumeration Date
- February 06, 2007
- Last Updated
- November 25, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 011316 (NY, PA License)