Most Relevant Information
Provider Data
| NPI Number: | 1003547696 |
| Provider Name: | KRISTA LINCOLN |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA17291 |
Most Important Dates
| Enumeration Date: | 06/23/2022 |
| Last Updated: | 12/28/2023 |
Provider Practice Location
1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND
TX
774783540
Practice Location Phone/Fax
| Phone: | 8009360074 |
| Fax: |
Provider Mailing Location
5005 E 42ND ST
SIOUX FALLS
SD
571104435
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |