Lincoln Trail Medical Assoc., Pllc

NPI #1750356986 in Radcliff, Kentucky

Provider Information

NPI Number: 1750356986
Entity Type: Organization
Organization Name: Lincoln Trail Medical Assoc., Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 21, 2006
Last Updated: Jun 22, 2010

Practice Location

Address: 700 W LINCOLN TRAIL BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160-2604
Phone: (270) 351-3192

Authorized Official

Name: DR. JAWED M MOVANIA, MD
Title: OWNER
Phone: (270) 351-3192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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