Individual
LINCOLN PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 OLD LARAMIE TRL, LAFAYETTE, CO 80026-7012
(720) 457-8383
Mailing address
6227 FLORENCE WAY, DENVER, CO 80238-4379
(914) 238-1200
(914) 238-2200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
183421
NY
2085R0001X
Radiation Oncology Physician
Primary
35.074278
OH
2085R0001X
Radiation Oncology Physician
DR.0067105
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01636391
—
NY
05
—
9000196796
—
CO
Enumeration date
08/18/2006
Last updated
05/01/2026
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