Healthcare Provider Details

I. General information

NPI: 1811335896
Provider Name (Legal Business Name): MARK SCOTT LINCOLN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

5939 KIMBLE CT
FALLS CHURCH VA
22041-2418
US

V. Phone/Fax

Practice location:
  • Phone: 310-351-5609
  • Fax:
Mailing address:
  • Phone: 310-351-5609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number0101258193
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0101258193
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: