Provider Demographics
NPI:1699193276
Name:VARUGHESE, LINCE K (MD)
Entity Type:Individual
Prefix:DR
First Name:LINCE
Middle Name:K
Last Name:VARUGHESE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7501 LAKEVIEW PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9323
Mailing Address - Country:US
Mailing Address - Phone:972-520-9880
Mailing Address - Fax:972-520-9880
Practice Address - Street 1:7501 LAKEVIEW PKWY STE 240
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9323
Practice Address - Country:US
Practice Address - Phone:972-520-9880
Practice Address - Fax:972-520-9880
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA306683207Q00000X
TXR6700207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine