Provider Demographics
NPI:1962493957
Name:DOYLE, LISA B (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:B
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHAMBERS ROAD
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1839
Mailing Address - Country:US
Mailing Address - Phone:603-624-8652
Mailing Address - Fax:603-624-6609
Practice Address - Street 1:20 CHAMBERS ROAD
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1839
Practice Address - Country:US
Practice Address - Phone:603-624-8652
Practice Address - Fax:603-624-6609
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11953207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH011953OtherTUFTS PIN
NHP00101998OtherRR MEDICARE PIN
NH01YP05032NH01OtherANTHEM ACES PIN
NH714542OtherHPHC PIN
NHH93614OtherANTHEM REFERRING UPIN
NH30203586Medicaid
NH3362755OtherAETNA PIN
NH5796010OtherCIGNA PIN
H93614OtherUPIN
NH01YP05032NH01OtherANTHEM ACES PIN