Provider Demographics
NPI:1497703797
Name:LIN, CHRISTINE C (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:C
Last Name:LIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:20401 N 73RD STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4351
Mailing Address - Country:US
Mailing Address - Phone:480-556-0446
Mailing Address - Fax:480-556-0447
Practice Address - Street 1:20401 N 73RD STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4351
Practice Address - Country:US
Practice Address - Phone:480-556-0446
Practice Address - Fax:480-556-0447
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-10-20
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Provider Licenses
StateLicense IDTaxonomies
AZ34857207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ403771Medicaid
H69733Medicare UPIN
AZ403771Medicaid