Lise Wendy Forestal, MD

NPI #1104453711 in Macon, Georgia

Provider Information

NPI Number: 1104453711
Entity Type: Individual
Name: Lise Wendy Forestal, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 24, 2020
Last Updated: Sep 14, 2021

Practice Location

Address: 3780 EISENHOWER PARKWAY
City: Macon
State: Georgia
ZIP Code: 31206
Phone: (478) 633-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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