Provider Demographics
NPI:1750067484
Name:GRIFFEY, ELIZABETH E (MD, LAC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:GRIFFEY
Suffix:
Gender:F
Credentials:MD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 PORTSMOUTH ST UNIT 48
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5838
Mailing Address - Country:US
Mailing Address - Phone:617-833-9386
Mailing Address - Fax:
Practice Address - Street 1:54 S STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3705
Practice Address - Country:US
Practice Address - Phone:617-833-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH326171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist