Lincoln A Holdaway, M.D. Valid NPI

Individual provider · General Practice Physician · Fort Campbell, KY

NPI

1154576080

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

01067398A (IN)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-11-19

Last updated

2011-08-29