# JOHN C LINCOLN , LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639631963
- **Authorized official:** JENNY ALBIOS (SYSTEMS MANAGER)
- **Authorized official phone:** (623) 436-6200

## Contact information

- **Practice address:** 9202 N 2ND ST, PHOENIX, AZ 85020-2458
- **Practice address phone:** (602) 683-7110
- **Practice address fax:** (480) 882-5813
- **Mailing address:** PO BOX 845635, LOS ANGELES, CA 90084-5635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2019
- **Last updated:** 04/04/2019