Provider Demographics
NPI:1396622601
Name:LINCOLN, CLAUDE EDWARD JR
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:EDWARD
Last Name:LINCOLN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 KING PALM WAY
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1920
Mailing Address - Country:US
Mailing Address - Phone:561-584-0590
Mailing Address - Fax:
Practice Address - Street 1:7100 FAIRWAY DR STE 42
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3778
Practice Address - Country:US
Practice Address - Phone:561-775-7775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33320225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant