Most Relevant Information
Provider Data
| NPI Number: | 1003347584 |
| Provider Name: | LINCOLN SHAW |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 125.070375 |
Most Important Dates
| Enumeration Date: | 03/25/2017 |
| Last Updated: | 03/01/2024 |
Provider Practice Location
2600 N MAYFAIR RD STE 901
MILWAUKEE
WI
532261307
Practice Location Phone/Fax
| Phone: | 7737023937 |
| Fax: |
Provider Mailing Location
180 HARVESTER DR STE 110
BURR RIDGE
IL
605276686
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |