Individual
KILEE HEARD LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, OB/GYN, SHREVEPORT, LA 71103
(318) 675-8700
(318) 675-8706
Mailing address
1501 KINGS HWY, OB/GYN, SHREVEPORT, LA 71103-4228
(318) 675-8700
(318) 675-8706
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
304920
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2331604
—
LA
Enumeration date
04/22/2013
Last updated
06/13/2018
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