MEDICARE: LISA L. SAVAGE M.D.

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	86762	SC
2	207V00000X	Obstetrics & Gynecology Physician	0101273169	VA
3	207V00000X	Obstetrics & Gynecology Physician	ME151944	FL
4	207V00000X	Obstetrics & Gynecology Physician	J3594	TX

General Provider Information

NPI Number	:	1831174820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA L. SAVAGE M.D.

Provider Business Mailing Address
First Line	:	6000 NORTHERN DANCER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-2107
Country	:	US
Telephone Number	:	512-970-5058
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 NORTHERN DANCER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-2107
Country	:	US
Telephone Number	:	512-970-5058
Fax Number	:

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	04/17/2025

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