Individual
CLINT NICKOLAS LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10071 GULF HWY, LAKE CHARLES, LA 70607
(337) 905-2151
(337) 905-2154
Mailing address
10071 GULF HWY, LAKE CHARLES, LA 70607-8672
(337) 905-2151
(337) 905-2154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-9199
AR
207Q00000X
Family Medicine Physician
Primary
MD.207591
LA
207Q00000X
Family Medicine Physician
Q3727
TX
Other
Enumeration date
04/11/2012
Last updated
06/10/2018
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