Lincoln Park Health Management

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

LINCOLN PARK HEALTH MANAGEMENT

Practice address

1158 Fort St
Lincoln Park, MI 48146-1840

Phone

(313) 989-0124

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Rene Gonzalez Garcia, MD

Title

Medical Director

Phone

(313) 989-0124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1336814946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461840",
            "telephone_number": "313-989-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461840",
            "telephone_number": "313-989-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GARCIA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-989-0124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifesmart Medical Center PLLC
• Lifesmart Pharmacy LLC
• Lincoln DME Care Supply LLC
• Lincoln Park Dental Associates
• Lincoln Park Family Dentistry DDS PC
• Lincoln Park Kidney Center LLC
• Lincoln Park Pharmacy LLC
• Lincoln Park Rehabilitation PC
• Lincoln Park RX Pharmacy LLC
• Lacey Nicole Linne

• Pain Clinic/Center in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.