Provider Demographics
NPI:1417022641
Name:LINCONLN FAMILY PRACTICE ASSOCIATES
Entity Type:Organization
Organization Name:LINCONLN FAMILY PRACTICE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-434-1623
Mailing Address - Street 1:151 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-2017
Mailing Address - Country:US
Mailing Address - Phone:916-434-1623
Mailing Address - Fax:916-434-1625
Practice Address - Street 1:151 E 12TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-2017
Practice Address - Country:US
Practice Address - Phone:916-434-1623
Practice Address - Fax:916-434-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care