Individual
LINCOLN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 PRESTON AVE APT F, LEWISTON, ID 83501-4648
(208) 816-6834
Mailing address
723 PRESTON AVE APT F, LEWISTON, ID 83501-4648
(208) 816-6834
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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