Individual
BRENDA LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
(315) 437-4698
Mailing address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
(315) 437-4698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
10/14/2024
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