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DR. JAY DEAN LINCOLN

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609361641

Individual Registrant:
DR. JAY DEAN LINCOLN 
Gender: M
Sole Proprietor

Location and contact information for practice:
100 MAIN STREET APT 202 PAGO PAGO, AS 96799-5666 US
Tel: 684-699-6380  Fax: 684-699-6374

Contact information for business:
100 MAIN STREET APT 202 PAGO PAGO, AS 96799-5666 US
Tel: 684-699-6380  Fax: 684-699-6374

Registration Information:
NPI: 1609361641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AS4105C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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