Individual
LANCE M PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
125902
TX
367500000X
Certified Registered Nurse Anesthetist
4873979-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11016396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113259900
—
FL
Enumeration date
04/18/2019
Last updated
02/27/2023
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