Lisa Mae Witzlib, FNP-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

RN278907 Issued in GA

Practice address

900 Mohawk St Ste E
Savannah, GA 31419-1768

Phone

(912) 925-0067

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lwitzlib@directaddress.net
• Direct secure messaging: lwitzlib@gscc.encitedirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1316516578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 FARM RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674076",
            "telephone_number": "404-512-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MOHAWK ST STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191768",
            "telephone_number": "912-925-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZLIB",
        "first_name": "LISA",
        "middle_name": "MAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "RN278907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwitzlib@gscc.encitedirect.com",
            "affiliation": "N",
            "address_1": "900 Mohawk St Ste E",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314191768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Amber Winters-Laflin
• J. Patrick Winters, LPC
• Peyton Elizabeth Winters, FNP-C
• Fremont P Wirth, MD
• Russell Logan Wise, DC
• Jennifer Woehler, D.O.
• Shermia Wofford
• Amy Rose Wojciechowski, RN
• Rachel Wolf, L.AC. MSTOM
• Emily Wolfgang

• Dermatology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.