Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD424715 | PA |
Y | 2086S0105X | Surgery of the Hand | MD424715 | PA |
NPI | 1265494769 |
---|---|
Provider Name | Dr. Christopher J. Lincoski |
First Address | State College, PA 16801-7965 |
Second Address | State College, PA 16801-7965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 14/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101120991 | (05) | PA |
I20657 | (02) |