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NPI Code Detail

MEDICARE: JENNIFER LINCOLN

MEDICARE: JENNIFER LINCOLN
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
1225X00000XOccupational Therapist0119011359VA

General Provider Information

NPI Number : 1285576041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LINCOLN
Provider Business Mailing Address
First Line : 112 BENTPATH CT
Second Line :
City : WINCHESTER
State : VA
Zip : 22602-7040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9642 BURKE LAKE RD
Second Line :
City : BURKE
State : VA
Zip : 22015-3052
Country : US
Telephone Number : 571-427-0070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ JENNIFER LINCOLN ” Practice Location

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