Provider Demographics
NPI:1518756451
Name:PALMER, LAUREN JUSTINE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JUSTINE
Last Name:PALMER
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 1:560 BAIRD ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1850
Mailing Address - Country:US
Mailing Address - Phone:330-983-9551
Mailing Address - Fax:
Practice Address - Street 1:560 BAIRD ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1850
Practice Address - Country:US
Practice Address - Phone:330-983-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle