Provider Demographics
NPI:1790645521
Name:THE LINCOLN-POTTER GROUP, LLC
Entity type:Organization
Organization Name:THE LINCOLN-POTTER GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KONEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-221-1780
Mailing Address - Street 1:2004 BARNETT DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6044
Mailing Address - Country:US
Mailing Address - Phone:512-221-1780
Mailing Address - Fax:512-503-0303
Practice Address - Street 1:2004 BARNETT DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6044
Practice Address - Country:US
Practice Address - Phone:512-221-1780
Practice Address - Fax:512-503-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty