Provider Demographics
NPI:1265872840
Name:SEAWRIGHT, LISA MICHELLE (DO)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELLE
Last Name:SEAWRIGHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:M
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:125 W GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-1848
Mailing Address - Country:US
Mailing Address - Phone:706-376-3161
Mailing Address - Fax:706-203-5742
Practice Address - Street 1:125 W GIBSON ST
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-1848
Practice Address - Country:US
Practice Address - Phone:706-376-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA072666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine