CLINT NICKOLAS LINCOLN

LAKE CHARLES, LA
NPI1194081414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  MD.207591)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  E-9199)
207Q00000X Family Medicine
(Licence: TX  Q3727)
Enumeration Date2012-04-11
Last Update Date2018-06-10
Business Address
CLINT NICKOLAS LINCOLN MD
10071 GULF HWY
LAKE CHARLES, LA 70607
Phone number: 337-905-2151
Mailing Address
CLINT NICKOLAS LINCOLN MD
10071 GULF HWY
LAKE CHARLES, LA 70607-8672
Phone number: 337-905-2151