Individual
MS. EDINAH H LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1721 W GOVERNOR ST, SPRINGFIELD, IL 62704-1550
(217) 787-5769
(217) 787-5769
Mailing address
1721 W GOVERNOR ST, SPRINGFIELD, IL 62704-1550
(217) 787-5769
(217) 787-5769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-004774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432010
BLUE CROSS BLUE SHIELD
IL
01
—
735348
HEALTHLINK
IL
Enumeration date
02/21/2007
Last updated
09/09/2011
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