Healthcare Provider Details

I. General information

NPI: 1326124629
Provider Name (Legal Business Name): EVA LEIGH LIZER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CONCORD RD STE 1
LEE NH
03861-6628
US

IV. Provider business mailing address

40 CONCORD RD STE 1
LEE NH
03861-6628
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-7090
  • Fax: 603-516-7099
Mailing address:
  • Phone: 603-516-7090
  • Fax: 603-516-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number17014
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: