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Lise Wendy Forestal, MD
Family Medicine Physician in Macon, Georgia
NPI 1104453711

Lise Wendy Forestal is a Family Medicine Physician based in Macon, GA. Lise Wendy Forestal practices in Macon, GA and has the professional credentials of MD. The NPI Number for Lise Wendy Forestal is 1104453711 and holds a License No. (Georgia).

The current practice location address for Lise Wendy Forestal is 3780 Eisenhower Parkway, Macon, GA and can be reached out via phone at 478-633-5560.

Location: 3780 Eisenhower Parkway, Macon, GA, 31206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104453711
Provider Name
Lise Wendy Forestal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3780 Eisenhower Parkway, Macon, GA, 31206
Phone Number
478-633-5560
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3780 Eisenhower Parkway
City
Macon
State
Georgia
Zip
31206
Phone Number
478-633-5560
Fax Number
person
Provider Business Mailing Address Details
Address
3780 Eisenhower Parkway
City
Macon
State
Georgia
Zip
31206
Phone Number
478-633-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
12173 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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