Basic Information
| Provider Information | |||||||||
| NPI: | 1881957355 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCNAMARA | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | MARILYN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FRANZEK | ||||||||
| OtherFirstName: | ELIZABETH | ||||||||
| OtherMiddleName: | MARILYN | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 13387 | ||||||||
| Address2: | |||||||||
| City: | SOUTH LAKE TAHOE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 961513387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162078579 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | BARTON MEMORIAL HOSPITAL | ||||||||
| Address2: | 2107 SOUTH AVE | ||||||||
| City: | SOUTH LAKE TAHOE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 96150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305413420 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2012 | ||||||||
| LastUpdateDate: | 08/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 17582 | NV | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | A155032 | CA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 276853 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.