NPI | 1285933820 |
---|---|
Doing Business As | DEL LAGO FAMILY MEDICINE |
Doing Business As | JOHN C. LINCOLN, LLC |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-03-22 |
Last Update Date | 2020-10-02 |