Provider Demographics
NPI:1497202725
Name:LINCOLN, KATIE LANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:LANA
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LANA
Other - Last Name:PLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1920 S ARKANSAS ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGHILL
Mailing Address - State:LA
Mailing Address - Zip Code:71075-4320
Mailing Address - Country:US
Mailing Address - Phone:318-539-3500
Mailing Address - Fax:318-539-2522
Practice Address - Street 1:1920 S ARKANSAS ST
Practice Address - Street 2:
Practice Address - City:SPRINGHILL
Practice Address - State:LA
Practice Address - Zip Code:71075-4320
Practice Address - Country:US
Practice Address - Phone:318-539-3500
Practice Address - Fax:318-539-2522
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA021669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist