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Individual

DR. LINCOLN PAUL LIKNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
49791
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
49791
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
49791-021
WI

Other

Enumeration date
10/26/2007
Last updated
06/01/2023
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