Provider Demographics
NPI:1679388839
Name:PALMER, LINDSEY EARL
Entity type:Individual
Prefix:MR
First Name:LINDSEY
Middle Name:EARL
Last Name:PALMER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:LINDSEY
Other - Middle Name:EARL
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MR PALMER
Mailing Address - Street 1:1501 LONGS PEAK CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-5331
Mailing Address - Country:US
Mailing Address - Phone:402-480-1258
Mailing Address - Fax:
Practice Address - Street 1:1501 LONGS PEAK CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-5331
Practice Address - Country:US
Practice Address - Phone:402-480-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities