Organization
LINCOLN MEDICAL PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARALA GHANAPURAM MD (OWNER/PHYSCIAN)
(845) 542-1140
Entity
Organization
Contact information
Practice address
89 LINCOLN BLVD, LINCOLN, CA 95648-6315
(916) 434-8800
Mailing address
89 LINCOLN BLVD, LINCOLN, CA 95648-6315
(916) 434-8800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A137432
CA
Other
Enumeration date
08/29/2015
Last updated
10/13/2015
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