Provider Demographics
NPI:1639972961
Name:LINCOLN JAMES PRIME
Entity type:Organization
Organization Name:LINCOLN JAMES PRIME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-284-6649
Mailing Address - Street 1:1014 E HIGHWAY 82 # 134
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2721
Mailing Address - Country:US
Mailing Address - Phone:940-284-6649
Mailing Address - Fax:888-292-0671
Practice Address - Street 1:201 W CALIFORNIA ST # 16
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-3904
Practice Address - Country:US
Practice Address - Phone:940-284-6649
Practice Address - Fax:888-292-0671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty