Healthcare Provider Details

I. General information

NPI: 1538830799
Provider Name (Legal Business Name): LISA TRAINA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 R C HOAG DR
SALAMANCA NY
14779-1365
US

IV. Provider business mailing address

987 R C HOAG DR
SALAMANCA NY
14779-1365
US

V. Phone/Fax

Practice location:
  • Phone: 716-945-5894
  • Fax: 716-242-6345
Mailing address:
  • Phone: 716-945-5894
  • Fax: 716-242-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF347843
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: