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Lincoln Mackey Snyder
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NPI Number Detailed Information
Provider Information:
| Name: | Lincoln Mackey Snyder |
| Gender: | M |
| Provider License Number If Given: | G56505 |
NPI Information:
| NPI: | 1801895180 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 7/15/2013 |
Provider Business Mailing Address:
| Address: | 510 SUPERIOR AVE SUITE 200 G Newport Beach, CA 92663 |
| Phone Number: | 9497916767 |
| Fax Number: | 9497916768 |
Provider Business Practice Location Address:
| Address: | 510 SUPERIOR AVE SUITE 200 G Newport Beach, CA 92663 |
| Phone Number: | 9497916767 |
| Fax Number: | 9497916768 |
Provider Taxonomy:
| Primary: | 208600000X |
| Secondary (if any): | 2086X0206X |
| State: | CA |
