Provider Demographics
NPI:1811348071
Name:PALMER, LAUREN (DC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N CHAUTAUQUA ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL GROVE
Mailing Address - State:KS
Mailing Address - Zip Code:66846-1527
Mailing Address - Country:US
Mailing Address - Phone:785-260-8066
Mailing Address - Fax:
Practice Address - Street 1:8200 SOUTHPORT DR
Practice Address - Street 2:SUITE 106
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-8142
Practice Address - Country:US
Practice Address - Phone:816-824-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor