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Individual

DR. ANNIE LINCOLN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2310 INDIANA AVE, LUBBOCK, TX 79410-2142
(806) 795-9777
(806) 795-0799
Mailing address
2310 INDIANA AVE, LUBBOCK, TX 79410-2142
(806) 795-9777
(806) 795-0799

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G4238
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00TY53
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/14/2006
Last updated
07/08/2007
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