Doctor Name: | LORI L LINCOLN |
NPI Number: | 1629041876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, CNM |
License Number: | 113440 |
Business Practice Address: | 212 Stags Leap Ln Broussard, LA - 705185222 |
Business Phone Number: | 3373302261 |
Business Fax Number: | |
Mailing Address: | 212 Stags Leap Ln, BROUSSARD |
State: | LA |
Postal Code: | 705185222 |
Phone Number: | 3373302261 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 113440 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |