# JOHN C. LINCOLN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John C. Lincoln Urgent Care at Tatum
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598040347
- **Authorized official:** NATHAN ANSPACH (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (623) 780-3751

## Contact information

- **Practice address:** 18404 N TATUM BLVD, STE. 102, PHOENIX, AZ 85032-1510
- **Practice address phone:** (602) 485-7451
- **Practice address fax:** (602) 485-7450
- **Mailing address:** 2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
- **Mailing address phone:** (623) 780-3751
- **Mailing address fax:** (623) 780-3752

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2011
- **Last updated:** 10/12/2011