Healthcare Provider Details

I. General information

NPI: 1932273000
Provider Name (Legal Business Name): LINCOLN HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E VAUGHN AVE
RUSTON LA
71270-5950
US

IV. Provider business mailing address

401 E VAUGHN AVE
RUSTON LA
71270-5950
US

V. Phone/Fax

Practice location:
  • Phone: 318-254-2450
  • Fax: 318-254-2728
Mailing address:
  • Phone: 318-254-2450
  • Fax: 318-254-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS J STONE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 318-254-2450