MEDICARE: LINCOLN FAMILY MEDICINE P.C.

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1568524635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN FAMILY MEDICINE P.C.

Provider Business Mailing Address
First Line	:	302 N. HWY 65
Second Line	:	PO BOX 338
City	:	LINCOLN
State	:	MO
Zip	:	65338
Country	:	US
Telephone Number	:	660-547-3915
Fax Number	:	660-547-3019

Provider Business Practice Location Address
First Line	:	302 NORTH HIGHWAY 65
Second Line	:
City	:	LINCOLN
State	:	MO
Zip	:	65338
Country	:	US
Telephone Number	:	660-547-3915
Fax Number	:	660-547-3019

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD ALLCORN
Credential	:	M.D.
Telephone Number	:	660-547-3915

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	08/22/2020

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