Provider Demographics
NPI:1891761185
Name:PREISINGER, ELIZABETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:PREISINGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:295 VARNUM AVE
Mailing Address - Street 2:LOWELL GENERAL HOSPITAL
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2134
Mailing Address - Country:US
Mailing Address - Phone:978-937-6341
Mailing Address - Fax:978-937-6085
Practice Address - Street 1:295 VARNUM AVE
Practice Address - Street 2:LOWELL GENERAL HOSPITAL
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2134
Practice Address - Country:US
Practice Address - Phone:978-937-6341
Practice Address - Fax:978-937-6085
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA217663207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2018268Medicaid
MAH92955Medicare UPIN
MAA35970Medicare ID - Type Unspecified