Provider Demographics
NPI:1477641991
Name:LINCOLN PHYSICIAN BILLING, LLC
Entity Type:Organization
Organization Name:LINCOLN PHYSICIAN BILLING, LLC
Other - Org Name:JOHN C LINCOLN HEALTH NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-434-6200
Mailing Address - Street 1:2500 W UTOPIA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4172
Mailing Address - Country:US
Mailing Address - Phone:623-434-6200
Mailing Address - Fax:623-494-6283
Practice Address - Street 1:2500 W UTOPIA RD STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4172
Practice Address - Country:US
Practice Address - Phone:623-434-6200
Practice Address - Fax:623-434-6283
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN C LINCOLN HEALTH NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-10
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ70012Medicare ID - Type UnspecifiedTRAUMA BILLING