| John C. Lincoln, Llc | |
|
20470 N Lake Pleasant Rd Ste. 110 Peoria AZ 85382-9708 | |
| (623) 266-4699 | |
| (623) 825-5630 |
| Full Name | John C. Lincoln, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20470 N Lake Pleasant Rd, Peoria, Arizona |
| Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
| Authorized Official Contact | 4806964020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Lincoln, Llc 2500 W Utopia Rd Phoenix AZ 85027-4171 Ph: (480) 587-5314 | John C. Lincoln, Llc 20470 N Lake Pleasant Rd Ste. 110 Peoria AZ 85382-9708 Ph: (623) 266-4699 |
| NPI Number | 1285933820 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285933820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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