# JOHN C LINCOLN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SECOND STREET PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588068266
- **Authorized official:** NATHAN ANSPACH (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (623) 434-6200

## Contact information

- **Practice address:** 3330 N 2ND ST, SUITE 500, PHOENIX, AZ 85012-2368
- **Practice address phone:** (623) 434-6200
- **Mailing address:** 2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
- **Mailing address phone:** (623) 434-6200
- **Mailing address fax:** (623) 434-6164

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 12/03/2014