Individual
MRS. LISA LYNN VISNIESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 885-2261
Mailing address
16 NORTHRIDGE DR, BUFFALO, NY 14224-4409
(716) 866-6890
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
466-766
NY
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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