Provider Demographics
NPI:1427246677
Name:HICKOX, LYNN ELISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ELISE
Last Name:HICKOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:ELISE
Other - Last Name:TEMME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 N BROADWELL AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-2153
Mailing Address - Country:US
Mailing Address - Phone:308-382-3660
Mailing Address - Fax:308-385-2737
Practice Address - Street 1:4100 E MISSISSIPPI AVE STE 1122
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3048
Practice Address - Country:US
Practice Address - Phone:307-205-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY31561835P2201X
NE12736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist