National Provider Identifier
Lisa M Mendonza, M.D.
Lisa M Mendonza, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Kenmore, NY and a listed phone number of (716) 875-6700.
Profile Overview
- NPI
- 1538128764
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2914 Elmwood Ave
- Kenmore, NY 14217-1332
Phone: (716) 875-6700
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1538128764
- Entity Type
- Individual
- Last Name
- Mendonza
- First Name
- Lisa
- Middle Name
- M
- Credential
- M.D.
- Mailing Street Address
- 2914 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1332
- Mailing Country
- US
- Mailing Phone
- (716) 875-6700
- Mailing Fax
- (716) 875-6853
- Practice Street Address
- 2914 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1332
- Practice Country
- US
- Practice Phone
- (716) 875-6700
- Practice Fax
- (716) 875-6853
- Enumeration Date
- March 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02109713 (NY)