Provider Demographics
NPI:1124383690
Name:LYNK, ELIZABETH H (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:LYNK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:HELEN
Other - Last Name:HEINZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:650 MCMILLEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-1275
Mailing Address - Country:US
Mailing Address - Phone:815-575-4420
Mailing Address - Fax:303-318-3825
Practice Address - Street 1:650 MCMILLEN ST
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1275
Practice Address - Country:US
Practice Address - Phone:303-318-3830
Practice Address - Fax:303-318-3825
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI65179-20207V00000X, 207V00000X
CO53633207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology