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Organization
LINCOLN PADEN MEDICAL GROUP PLLC
Active
Organization
LINCOLN PADEN MEDICAL GROUP PLLC
Active
Other names
Burnett-Lincoln-Paden- PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DIGGS (ASSIST. ADMIN)
(870) 425-3030
Entity
Organization
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
(870) 425-0633
Mailing address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
(870) 425-0633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124281002
—
AR
Enumeration date
05/18/2006
Last updated
05/25/2022
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