Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Domagala, RPA-C

Individual provider Medical Physician Assistant · NPI 1083726251

Lisa Domagala, RPA-C is a Physician Assistant in Orchard Park, New York. Qualified in 1997, 29 years ago. Practices with Great Lakes Physician PC, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

500 Sterling Dr
Orchard Park, NY 14127-1573
Phone: (716) 677-2273
Fax: (716) 677-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 008065-1 (NY)

Record details

NPI number1083726251
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Orchard Park