Provider Demographics
NPI:1780775049
Name:LINCOLN, STEPHEN REECE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:REECE
Last Name:LINCOLN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:GIVF PAYMENT/CORRESPONDENCE ADDRESS
Mailing Address - Street 2:PO BOX 75499
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5499
Mailing Address - Country:US
Mailing Address - Phone:703-289-1977
Mailing Address - Fax:703-698-3977
Practice Address - Street 1:GIVF
Practice Address - Street 2:3015 WILLIMAS DR. # 300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-289-1977
Practice Address - Fax:703-698-3977
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE56889Medicare UPIN