Organization
JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC
Active
Parent organization
JOHN C. LINCOLN, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN C. LINCOLN, LLC.
Authorized official
MR. NATHAN ANSPACH (SR. VP)
(623) 434-6200
Entity
Organization
Contact information
Practice address
9225 N 3RD ST, SUITE 103, PHOENIX, AZ 85020-2439
(623) 434-6200
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
AZ
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/14/2013
Last updated
07/24/2017
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