Individual
DR. LINCOLN PRANIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1646 JOSEPH ST, NEW ORLEANS, LA 70115-5035
(504) 975-4547
Mailing address
1646 JOSEPH ST, NEW ORLEANS, LA 70115-5035
(504) 975-4547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09597R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952877
—
LA
Enumeration date
03/03/2006
Last updated
05/21/2012
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