John C. Lincoln, LLC

NPI #1871843326 in Youngtown, Arizona

Provider Information

NPI Number: 1871843326
Entity Type: Organization
Organization Name: John C. Lincoln, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: JOHN C. LINCOLN, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 12, 2012
Last Updated: Sep 12, 2012

Practice Location

Address: 10800 N 115TH AVE
Address 2: SUITE 94
City: Youngtown
State: Arizona
ZIP Code: 85363-1436
Phone: (602) 544-8541

Authorized Official

Name: NATHAN ANSPACH
Title: SR. VICE PRESIDENT
Phone: (623) 434-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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