LISA MARIE FORESTAL

BUFFALO, NY
NPI1205975232
Former NameLISA MARIE WELLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  011316)
Enumeration Date2007-02-06
Last Update Date2009-11-25
Business Address
-- LISA MARIE FORESTAL PA
100 HIGH ST
BUFFALO, NY 14203-1126
Phone number: 716-859-1254
Mailing Address
-- LISA MARIE FORESTAL PA
3435 MAIN ST HAYES A
BUFFALO, NY 14214-3001
Phone number: 716-829-3670
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