Provider Demographics
NPI:1376593566
Name:LINCOLN, MICHAEL ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:LINCOLN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 LINDEN LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1265
Mailing Address - Country:US
Mailing Address - Phone:301-681-5700
Mailing Address - Fax:301-681-5599
Practice Address - Street 1:2900 LINDEN LN
Practice Address - Street 2:SUITE 200
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1265
Practice Address - Country:US
Practice Address - Phone:301-681-5700
Practice Address - Fax:301-681-5599
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-03-12
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Provider Licenses
StateLicense IDTaxonomies
MDD0029293207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4327187OtherAETNA PROVIDER NUMBER
MD471981600Medicaid
MD060046553OtherRAILROAD MEDICARE
MD526742OtherCAREFIRST MARYLAND PROV #
MDA4700002OtherDC CAREFIRST PROV NUMBER
MD5018OtherELDER HEALTH NUMBER
MD526742OtherCAREFIRST MARYLAND PROV #
MDA4700002OtherDC CAREFIRST PROV NUMBER