Doctor Name: | DUANE HOWARD LINCOLN |
NPI Number: | 1346572096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 306 West Ave Nome, AK - 997620966 |
Business Phone Number: | 9074433344 |
Business Fax Number: | 9074435915 |
Mailing Address: | 306 West Ave, NOME |
State: | AK |
Postal Code: | 997620966 |
Phone Number: | 9074433344 |
Fax Number: | 9074435915 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |