Provider Demographics
NPI:1114997269
Name:SEMPLE, LISA M (DO)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:SEMPLE
Suffix:
Gender:
Credentials:DO
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Mailing Address - Street 1:836 E 65TH ST STE 22
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4493
Mailing Address - Country:US
Mailing Address - Phone:912-819-7171
Mailing Address - Fax:912-691-9287
Practice Address - Street 1:5354 REYNOLDS ST STE 422
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6011
Practice Address - Country:US
Practice Address - Phone:912-354-2634
Practice Address - Fax:912-354-8375
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA51284207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology