Individual provider · Type 1 NPI

Lise Wendy Forestal, MD

Family Medicine Physician · Warner Robins, GA

NPI number 1104453711 Active

Practice location

113 Willie Lee Pkwy
Warner Robins, GA 31088-8970

Fax (478) 333-6634

Mailing address

2490 Riverside Dr Ste B
Macon, GA 31204-1787

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X12173 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1104453711

Lise Wendy Forestal, MD's National Provider Identifier is 1104453711, issued on Mar 24, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Warner Robins, GA. The record was last updated on Jul 1, 2026.