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NPI Code Detail

MEDICARE: LASHAWN RENEE LINCOLN

MEDICARE: LASHAWN RENEE 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
1373H00000XDay Training/Habilitation SpecialistCA
2101YM0800XMental Health Counselor
3172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1316036627
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHAWN RENEE LINCOLN
Provider Business Mailing Address
First Line : 220 E HYDE PARK BLVD APT 5
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-5568
Country : US
Telephone Number : 323-427-1219
Fax Number :
Provider Business Practice Location Address
First Line : 13130 BURBANK BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91401-6037
Country : US
Telephone Number : 818-781-0360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 06/17/2025

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Directions to “ LASHAWN RENEE LINCOLN ” Practice Location

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