# LINCOLN PADEN MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burnett-Lincoln-Paden- PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538112081
- **Authorized official:** VALERIE DIGGS (ASSIST. ADMIN)
- **Authorized official phone:** (870) 425-3030

## Contact information

- **Practice address:** 405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
- **Practice address phone:** (870) 425-3030
- **Practice address fax:** (870) 425-0633
- **Mailing address:** 405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
- **Mailing address phone:** (870) 425-3030
- **Mailing address fax:** (870) 425-0633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124281002 | — | AR |