MEDICARE: DR. LISA M SEMPLE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	51284	GA

General Provider Information

NPI Number	:	1114997269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA M SEMPLE DO

Provider Business Mailing Address
First Line	:	836 E 65TH ST STE 22
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-4493
Country	:	US
Telephone Number	:	912-819-7171
Fax Number	:	912-691-9287

Provider Business Practice Location Address
First Line	:	5354 REYNOLDS ST STE 422
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6011
Country	:	US
Telephone Number	:	912-354-2634
Fax Number	:	912-354-8375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	03/04/2025

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Directions to “ DR. LISA M SEMPLE DO” Practice Location

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