Provider Demographics
NPI:1881957355
Name:MCNAMARA, ELIZABETH MARILYN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARILYN
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:MARILYN
Other - Last Name:FRANZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13387
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96151-3387
Mailing Address - Country:US
Mailing Address - Phone:716-207-8579
Mailing Address - Fax:
Practice Address - Street 1:BARTON MEMORIAL HOSPITAL
Practice Address - Street 2:2107 SOUTH AVE
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150
Practice Address - Country:US
Practice Address - Phone:530-541-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17582207P00000X
CAA155032207P00000X
NY276853207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine