Individual
LINCOLN O. DINIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-7661
(502) 629-5309
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
44812
KY
2085P0229X
Pediatric Radiology Physician
TP069
KY
390200000X
Student in an Organized Health Care Education/Training Program
TL-2162
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000735624
ANTHEM
KY
01
—
000057155Q
HUMANA-KCR
KY
01
—
129346
SIHO-KCR
KY
05
—
201049380
—
IN
01
—
203438
CSHCS-KCR
KY
01
—
2054400
CIGNA - KCR
KY
05
—
7100186900
—
KY
Enumeration date
01/30/2007
Last updated
10/28/2019
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