Provider Demographics
NPI:1780773754
Name:FINCH, ELIZABETH LATHROP (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LATHROP
Last Name:FINCH
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 1:10470 ARMSTRONG ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3648
Mailing Address - Country:US
Mailing Address - Phone:703-385-7575
Mailing Address - Fax:703-385-7578
Practice Address - Street 1:10470 ARMSTRONG ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3648
Practice Address - Country:US
Practice Address - Phone:703-385-7575
Practice Address - Fax:703-385-7578
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA354842084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC89158Medicare UPIN