MEDICARE: DR. ELISABETH LYNN RIGHTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.061983	OH

General Provider Information

NPI Number	:	1851373286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISABETH LYNN RIGHTER MD

Provider Business Mailing Address
First Line	:	725 UNIVERSITY BLVD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45324-2640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2261 PHILADELPHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1814
Country	:	US
Telephone Number	:	937-245-7100
Fax Number	:	937-245-7999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	09/21/2021

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