Organization Active NPI

Lawrence J Lincoln MD PC

  • Specialist
  • Tucson, AZ
National Provider Identifier
1093832107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AZ09952 Issued in AZ
Legal business name
LAWRENCE J LINCOLN MD PC
Practice address
5679 E Grant Rd
Tucson, AZ 85712-2211
Phone
(520) 546-6120
Fax
(520) 546-6119
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawrence J Lincoln, MDNPI 1194725267
Title
President
Phone
(520) 546-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AZ09952 AZ Primary

Addresses

Primary practice location

5679 E Grant Rd
Tucson, AZ 85712-2211

Mailing address

5679 E Grant Rd
Tucson, AZ 85712-2211
Phone (520) 546-6120

Other identifiers 1

IdentifierTypeStateIssuer
221482MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5679 E Grant Rd
Tucson, AZ 85712
Phone (520) 546-6120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093832107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-546-6120",
            "fax_number": "520-546-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-546-6120",
            "fax_number": "520-546-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J LINCOLN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-546-6120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ09952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.