CLINT NICKOLAS LINCOLN (NPI# 1194081414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194081414 |
| Entity Type | Individual |
| Full Name | CLINT NICKOLAS LINCOLN |
| Credential | MD |
| Practice Address |
10071 Gulf Hwy Lake Charles LA 70607 |
| Mailing Address |
10071 Gulf Hwy Lake Charles LA 70607-8672 |
| Practice Telephone | 3379052151 |
| Practice Fax Number | 3379052154 |
| Mailing Telephone | 3379052151 |
| Mailing Fax Number | 3379052154 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2018-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.207591 | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E-9199 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | Q3727 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
10071 GULF HWY |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550080 | Imperial Health, LLP | Internal Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607-8672 | 2018-12-27 |
| 1689146219 | Ochsner Clinic LLC | Internal Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607-8672 | 2018-12-20 |
| 1164845905 | Alicia Larocque | Nurse Practitioner | 10071 Gulf Hwy, Lake Charles, LA 70607-8672 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| 1013048438 | Linda L Chevallier | Nurse Practitioner | 386 Hwy 384, Lake Charles, LA 70607 | 2007-03-08 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126520 | Executive Medical Clinic of Lake Charles | Family Medicine | 2002 W Walnut St Ste 1a, Lake Charles, LA 70601-5690 | 2017-07-14 |
| 1295184786 | Trina Health of Lake Charles, LLC | Family Medicine | 1714 Wolf Circle, Lake Charles, LA 70605-4050 | 2016-06-06 |
| 1740600683 | Jason Burklow | Family Medicine | 4150 Nelson Rd Ste 3, Lake Charles, LA 70605-4148 | 2014-04-18 |
| 1174871123 | Imperial Health LLP | Family Medicine | 1920 W Sale Rd Bldg F, Lake Charles, LA 70605-2400 | 2012-08-23 |
| 1790033744 | Imperial Health LLP | Family Medicine | 277 N Highway 171 Ste 8, Lake Charles, LA 70611-5374 | 2012-08-23 |
| 1972873610 | Terry Welke | Family Medicine | 707 E Prien Lake Rd Ste B, Lake Charles, LA 70601-8788 | 2012-01-11 |
| 1982839445 | Star Care Service Inc | Family Medicine | 313 Alamo St, Suite B, Lake Charles, LA 70601-8528 | 2009-05-27 |
| 1982862736 | Kamran Mohammad Chaudary | Family Medicine | 4918 E Westridge Park Dr, Lake Charles, LA 70605-6762 | 2008-05-29 |
| 1821255852 | Penny Lynn Goodwin | Family Medicine | 237 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2008-05-19 |
| 1023283108 | Irene Kenny Morin | Family Medicine | 3214 Henderson Bayou Rd, Lake Charles, LA 70605-2236 | 2008-04-29 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on CLINT NICKOLAS LINCOLN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.