Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC26765 | CA |
NPI | 1972554632 |
---|---|
Provider Name | Dr. David E Lincoln |
First Address | Santa Rosa, CA 95405-7538 |
Second Address | Santa Rosa, CA 95405-7538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 21/08/2019 |