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Individual

DR. LAWRENCE J LINCOLN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
09952
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
9952
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221482
AZ
01
AZ0015260
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
07/29/2005
Last updated
08/09/2021
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