Individual
DR. JAY DEAN LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAIN STREET, APT 202, PAGO PAGO, AS 96799-5666
(684) 699-6380
(684) 699-6374
Mailing address
100 MAIN STREET, APT 202, PAGO PAGO, AS 96799-5666
(684) 699-6380
(684) 699-6374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4105C
AS
Other
Enumeration date
06/22/2018
Last updated
02/25/2023
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