Healthcare Provider Details
I. General information
NPI: 1851501068
Provider Name (Legal Business Name): VERA LYNSKEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/23/2007
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PORTSMOUTH AVE
STRATHAM NH
03885-2585
US
IV. Provider business mailing address
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH NH
03801-7105
US
V. Phone/Fax
- Phone: 603-772-3600
- Fax: 603-772-3601
- Phone: 603-309-4490
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2006014656 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: