Individual
DR. LISA A FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1157 FORSYTH ST, SUITE 200, MACON, GA 31201-7452
(478) 743-4321
(478) 330-6052
Mailing address
1157 FORSYTH ST, SUITE 200, MACON, GA 31201-7452
(478) 743-4321
(478) 330-6052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040660
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000819442D
—
GA
01
—
GRP7545
MEDICARE GRP NUMBER
—
Enumeration date
07/08/2006
Last updated
01/20/2015
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