Individual
MR. LINCOLN DALE HENRY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
6642 CLAYTON RD # 403, SAINT LOUIS, MO 63117-1602
(636) 226-4159
Mailing address
6642 CLAYTON RD # 403, SAINT LOUIS, MO 63117-1602
(636) 226-4159
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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