Provider Demographics
NPI:1508847336
Name:PRICE, LISA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5780 PEACHTREE DUNWOODY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1513
Mailing Address - Country:US
Mailing Address - Phone:404-303-8035
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:1829 INDEPENDENCE SQ STE 1
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5153
Practice Address - Country:US
Practice Address - Phone:770-551-9616
Practice Address - Fax:770-394-3647
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-06-09
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Provider Licenses
StateLicense IDTaxonomies
GA055577207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA383705255Medicaid
GA383705255Medicare ID - Type Unspecified