Provider Demographics
NPI:1043486848
Name:LINDH, ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:LINDH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BELLEVUE AVE
Mailing Address - Street 2:#303B
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-3582
Mailing Address - Country:US
Mailing Address - Phone:401-835-7770
Mailing Address - Fax:
Practice Address - Street 1:174 BELLEVUE AVE
Practice Address - Street 2:#303B
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-3582
Practice Address - Country:US
Practice Address - Phone:401-835-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00299171100000X
FLAP2341171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist