Individual
LINCOLN O. DINIZ
Active
Individual
LINCOLN O. DINIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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