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NPI Code Detail

MEDICARE: DR. LAWRENCE J LINCOLN M.D.

MEDICARE:  DR. LAWRENCE J LINCOLN  M.D.
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
1174400000XSpecialist09952AZ
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician9952AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0015260OTHERAZBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1194725267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE J LINCOLN M.D.
Provider Business Mailing Address
First Line : 5679 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2211
Country : US
Telephone Number : 520-546-6120
Fax Number : 520-546-6119
Provider Business Practice Location Address
First Line : 5679 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2211
Country : US
Telephone Number : 520-546-6120
Fax Number : 520-546-6119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 08/09/2021

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Directions to “ DR. LAWRENCE J LINCOLN M.D.” Practice Location

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