Organization
LINCOLN WELLNESS AND FAMILY CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD V LINCOLN M.D. (OWNER)
(602) 434-2229
Entity
Organization
Contact information
Practice address
19841 N 27TH AVE, SUITE 304, PHOENIX, AZ 85027-4003
(602) 867-1302
(602) 867-4247
Mailing address
19841 N 27TH AVE, SUITE 304, PHOENIX, AZ 85027-4003
(602) 867-1302
(602) 867-4247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817158
—
AZ
01
—
AZ0731380
BCBS
—
01
—
MDC RR
P00166299
—
Enumeration date
03/25/2008
Last updated
03/25/2008
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