Individual provider · Type 1 NPI

Lincoln Shade, MD, PhD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1720873672 Active

Practice location

900 S Limestone Ctw 304
Lexington, KY 40506-0293

Call (859) 323-2834 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720873672

Lincoln Shade, MD, PhD's National Provider Identifier is 1720873672, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 11, 2025.