| NPI | 1497005946 |
|---|---|
| Doing Business As | JOHN C. LINCOLN LIFESTREAM AT THUNDERBIRD |
| Entity Type | Organization |
| Authorized Contact | NATHAN ANSPACH Sr. Vice President 623-434-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |