Provider Demographics
NPI:1508829078
Name:LYNCH, ELIZABETH A (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LITTLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03848-3117
Mailing Address - Country:US
Mailing Address - Phone:603-347-8810
Mailing Address - Fax:603-347-8811
Practice Address - Street 1:1 LITTLE RIVER RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NH
Practice Address - Zip Code:03848-3117
Practice Address - Country:US
Practice Address - Phone:603-347-8810
Practice Address - Fax:603-347-8811
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12172207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204042Medicaid
NH30204042Medicaid
NHRE7559Medicare ID - Type Unspecified