Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Mendonza, MD

Individual provider Family Medicine Physician · NPI 1538128764

Lisa M Mendonza, MD is a Family Practice in Kenmore, New York. Graduated from State University of New York at Buffalo School of Medicine in 1997, 29 years ago. Practices with Kenmore Family Medicine LLP, a 5-clinician group. Licensed in New York.

Years since qualifying
29
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2914 Elmwood Ave
Kenmore, NY 14217-1332
Phone: (716) 875-6700
Fax: (716) 875-6853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 213141 (NY)

Record details

NPI number1538128764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2914 Elmwood Ave, Kenmore, NY 14217-1332

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Kenmore Family Medicine Llp — 5 clinicians
Accepts Medicare assignment Not indicated

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