Individual
MR. WARDEN LAMAR PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1802 E 50TH ST, SUITE 104, LUBBOCK, TX 79404
(806) 771-1160
(806) 771-1162
Mailing address
1802 E 50TH ST, SUITE 104, LUBBOCK, TX 79404
(806) 771-1160
(806) 771-1162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
578145
TX
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
578145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356385504
NPI
TX
Enumeration date
06/16/2006
Last updated
05/08/2014
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