Individual
LINCOLN L BERLAND
Active
Individual
LINCOLN L BERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10659
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011138
BLUE CROSS
AL
05
—
000011138
—
AL
05
—
009979460
—
AL
01
—
010033CC76032
SECTION 1011
AL
01
—
0117072
MISSISSIPPI MEDICAID
MS
01
—
051505963
BLUE CROSS
AL
01
—
051511814
BLUE CROSS
AL
01
—
C76032
VIVA
AL
Enumeration date
05/23/2006
Last updated
07/05/2011
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