Organization
LINCOLN DIAGNOSTIC CENTER
Active
Organization
LINCOLN DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNNE MACDONALD (CFO)
(714) 384-3216
Entity
Organization
Contact information
Practice address
1775 E LINCOLN AVE, SUITE 102, ANAHEIM, CA 92805-4366
(714) 384-3216
(714) 388-3802
Mailing address
151 KALMUS DR, SUITE K-1, COSTA MESA, CA 92626-5988
(714) 384-3216
(714) 388-3802
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
246W00000X
Cardiology Technician
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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