# LINCOLN WELLNESS AND FAMILY CARE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265604771
- **Authorized official:** DR. TODD V LINCOLN M.D. (OWNER)
- **Authorized official phone:** (602) 434-2229

## Contact information

- **Practice address:** 19841 N 27TH AVE, SUITE 304, PHOENIX, AZ 85027-4003
- **Practice address phone:** (602) 867-1302
- **Practice address fax:** (602) 867-4247
- **Mailing address:** 19841 N 27TH AVE, SUITE 304, PHOENIX, AZ 85027-4003
- **Mailing address phone:** (602) 867-1302
- **Mailing address fax:** (602) 867-4247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 03/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 817158 | — | AZ |
| 01 | — | AZ0731380 | BCBS | — |
| 01 | — | MDC RR | P00166299 | — |
