Individual
JAMES C LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 635-1527
Mailing address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-28199
KS
208600000X
Surgery Physician
Primary
2017011939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341120A
—
KS
05
—
1801982608
—
MO
Enumeration date
10/05/2006
Last updated
08/10/2023
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