Provider Demographics
NPI:1801906623
Name:MOSER, LINCOLN B JR (DO)
Entity type:Individual
Prefix:DR
First Name:LINCOLN
Middle Name:B
Last Name:MOSER
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:1832 LAMPLIGHTER DR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8837
Mailing Address - Country:US
Mailing Address - Phone:610-395-8918
Mailing Address - Fax:
Practice Address - Street 1:153 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8931
Practice Address - Country:US
Practice Address - Phone:610-954-3005
Practice Address - Fax:610-954-3242
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-02-26
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Provider Licenses
StateLicense IDTaxonomies
PAOS005390L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA461193Medicare PIN