Meet The Team

Joel Lazar, MD Team Physician
Welcoming New Patients

I feel fortunate to have served patients and families in diverse communities and clinical settings and I enjoy bringing both my experience and my enthusiasm to Dartmouth Health Connect. My special clinical interests include promotion of wellness through preventive health activities, integration of physical with emotional and behavioral health, and team-based management of chronic illness (with patients themselves at the center of the team.) I believe strongly in empowering individuals to make informed decisions that honor their own health needs and priorities.

I trained in Philadelphia at the University of Pennsylvania School of Medicine, and completed my Family Medicine residency in 1993. I then moved to the southwestern United States to serve as a family physician with the Indian Health Service. In 2003 I came to VT, and was privileged to serve for 8 years as a family physician at Dartmouth-Hitchcock Family Medicine in Hanover, NH.

When not caring for patients, I enjoy time with my wife and our two growing boys. I love hiking, cooking, reading and writing. I feel especially passionate about music, and sing regularly with the Dartmouth Handel Society here in Hanover.

Elizabeth Wolfe, MD Team Physician

I grew up in New England and went on to attend Dartmouth College where I majored in History. It was not clear to me that I would enter medicine as a career and upon graduation, I moved to Park City, Utah.  I worked in the ski industry, skied as much as I could, and spent the warmer months exploring the West. In the hopes of becoming a primary care physician, I returned to school and attended the University of Utah for my pre-med coursework. I returned to Dartmouth College for medical school and ever since, my husband and I have been lucky to call the Upper Valley home. Prior to joining Dartmouth Health Connect, I worked as a primary care physician in New London, NH, and at Dartmouth-Hitchcock Medical Center. I still love to ski, and other interests include hiking, backpacking, running, and triathlons – but my favorite part is sharing these activities with our two kids.

Spencer Fairbairn Health Coach

Spencer is native to Vermont and grew up enjoying all of the outdoor pursuits the beautiful Upper Valley area has to offer. She earned a Bachelor of Science in Psychology from St. Lawrence University before going on to work as an Outdoor Instructor for the Hulbert Outdoor Center in Fairlee, Vermont. After marrying an Englishman, Spencer moved to the UK for four years where she pursued her interest in alternative medicine and studied Naturopathic Nutrition at the College of Naturopathic Medicine in London. Having returned to Vermont to put down roots with her husband, she enjoys being outdoors, cooking, reading and spending time with family and friends. Spencer also loves sharing her passion for a healthy diet and lifestyle with her patients and helping them to achieve their health and wellness goals.

Paul Schwab Health Coach

Paul comes to Dartmouth Health Connect with a background in Health and Physical Education and a degree from Slippery Rock University in Pennsylvania. Having competed in the Decathlon at the collegiate level, Paul has had a lifelong personal and professional passion for health and wellness which led him to previous work as a personal trainer and physical education teacher. He looks forward to bringing his diverse array of knowledge and experience to the Dartmouth Health Connect community.

Outside of work you can find Paul enjoying the great outdoors with his family, be it hitting the ski slopes, notching off the New Hampshire 4000-footers, or barefoot waterskiing.

Alyssa Lenning Health Coach

Alyssa was born in Winfield, Illinois and spent most of her childhood in the suburbs of Chicago. Her grandfather’s job as a high school Anatomy and Physiology teacher was the perfect catalyst to get her interested in science. Alyssa finished her first two years of college in Omaha, Nebraska at Creighton University before she moved to New Hampshire and graduated with her degree in Psychology from Plymouth State. Her prior experiences as a Barista at Starbucks and a Phlebotomist at Dartmouth Hitchcock contributed to her foundation of customer service and medical aptitude. Alyssa is excited to be part of Dartmouth Health Connect as a Health Coach because it gives her the opportunity to be part of a team that provides individualized wellness goals to the Upper Valley community. She hopes to eventually go back to school and become a Nurse Practitioner.

In her free time, she enjoys hiking, scuba diving, spending time with her family, traveling, finding new coffee shops and being in the kitchen.


Victoria Duenes Health Coach

Victoria joined Dartmouth Health Connect from our sister practice in Colorado, where she was also a Health Coach. She became interested in holistic health approaches early in her life and pursued a master’s degree in Acupuncture. After being in private practice she saw the gaps in care that many of her clients experienced and became passionate about improving relationships and the delivery of medicine to patients. Her many interests include a love for swimming, biking, cooking, nutrition and reading.

Bryn Estes Health Coach

Bryn is a native to the Upper Valley, having grown up in Lebanon, NH. She has always had a passion for athletics and living an active lifestyle, which led her to pursue and complete a degree in Exercise Science with a minor in Nutrition at the University of New Hampshire. While at UNH she was also a member of the Track and Field team. After graduating, Bryn returned to the Upper Valley where she worked at a local physical therapy clinic, which helped her discover her true interest in overall health and wellness. Bryn is excited to be part of the Dartmouth Health Connect team, helping patients meet their wellness goals while promoting active and healthy lifestyles.

Bryn enjoys spending time with her friends and family, as well as running, hiking and cooking.

Randy Snelling Health Coach

Randy Snelling was born and raised here in the magnificent region of Lyme, New Hampshire. He spent his early years learning how to farm, and learned to appreciate the importance of locally grown food. Randy has always loved being immersed in nature and enjoys the simplicity of walking his Golden Retriever and labradoodle through the woods. He has always thrived in the wilderness, and he can be found on an early Sunday morning fly fishing. After graduating from Thetford Academy, Randy obtained his Wilderness EMT certification in the great White Mountains of North Conway, New Hampshire. Randy then worked full time for a local ambulance company while completing his degree at Lyndon State College.

He always knew he wanted to help people, but solidified his passion while on an ambulance crew. While Randy loved helping people in their most immediate time of need, he strived to help people on a more personal level and wanted to promote long term personal wellness. As a Health Coach, Randy hopes to help individuals set goals and assist them in every step of the way.

Ray Dauphinais Operations Assistant

Ray is a lifelong resident of the Upper Valley. He grew up in Enfield, NH with his eight siblings and lived there for over forty years. Ray worked for Dartmouth College in various departments prior to joining Dartmouth Health Connect. His latest position was as Finance Specialist at the Geisel School of Medicine. In his 36 years at Dartmouth College he has come to know many people where a number of them are patients at Dartmouth Health Connect. In 2004 he married the love of his life and he and his wife now live in Piermont, NH. He really enjoys time with his grandchildren. During the winter, Ray loves to snowshoe and go for long walks. He is also an avid woodworker.

Samantha Kenney, RN Team Nurse

Samantha started her medical career as a medical secretary for the State of New Hampshire Neuromotor Clinic for children with disabilities. She realized she had a passion for helping others, and went on to get her LPN and RN degree through NHTI: Concord’s Community College. Afterwards, she completed her BSN through Southern New Hampshire University. She has a diverse background in nursing and has worked in hospitals, nursing homes, skilled rehabilitation units and with patients in their own home.

Samantha grew up in the capital area and has lived in New Hampshire for the majority of her life. Currently, she resides by the Monadnock and Upper Valley region. When she’s not caring for patients, she loves to spend time with her family and pets. Hobbies include horseback riding, camping, four-wheeling and hiking. She is excited to be a part of the Dartmouth Health Connect team and to build healthy relationships in the community.

Amanda Rice Behavioral Health Specialist

Amanda knew from an early age she wanted to be in a profession which would allow her to support people in reaching their goals and maintain their wellness. As a New Hampshire native, she earned a Bachelor’s Degree in Psychology and a Master’s Degree in Social Work from the University of New Hampshire. Amanda attends trainings and classes in order to stay up to date with best practices and treatment interventions.

Amanda is integrated in the practice and works collaboratively with the team. She provides short-term therapy and utilizes brief interventions and evidenced based practices.

Amanda has experience working in skilled nursing facilities and long-term care with the geriatric population and inpatient programs. Prior to coming to Dartmouth Health Connect, she was the Clinical Team Leader of an inpatient, co-occurring disorders program. Amanda has a broad range of clinical skills, including supporting people in learning to manage the symptoms of anxiety, depression, substance use, anger management, stress management and chronic disease management.

Amanda loves outdoor activities and enjoys spending time with her family and friends.

Dave Peckinpaugh Clinical Team Manager

Dave has many years of experience in health promotion, and is especially drawn to Dartmouth Health Connect’s mission to provide high quality relationship-based care to patients. With a background in Health Coaching in both clinical and non-clinical settings, Dave’s experience working with patients positively contributes to the development of a high-performing clinical team. As a long time resident of the Upper Valley, he loves working amongst his community at Dartmouth Health Connect.

When he is away from the clinic, Dave enjoys spending time with his family and can often be found coaching youth sports or cheering for his two children in sport or dance competitions.