Provider Demographics
NPI:1760005656
Name:DAUBERT, LINDLEY PAIGE
Entity Type:Individual
Prefix:
First Name:LINDLEY
Middle Name:PAIGE
Last Name:DAUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18826 SPAULDING ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1207
Mailing Address - Country:US
Mailing Address - Phone:402-889-2924
Mailing Address - Fax:
Practice Address - Street 1:900 N CLARKSON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-4254
Practice Address - Country:US
Practice Address - Phone:800-642-8382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program