Individual ProviderLindsay Dawn Deitloff TraegerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address5606 S 147th St, Omaha, NE 68137-2648(402) 715-8200PECOS EnrollmentBased on the most recent information from CMS, provider Lindsay Dawn Deitloff Traeger does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1699821447Provider TypeIndividualFull NameTraeger, Lindsay Dawn DeitloffCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date1/26/2007Last Updated11/5/2015Contact InformationPractice LocationPractice Address5606 S 147th St, Omaha, NE 68137-2648Phone(402) 715-8200FaxUnlisted FaxMailing LocationMailing Address5606 S 147th St, Omaha, NE 68137-2648Phone(402) 715-8200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1264NebraskaProvider IdentifiersIDDescriptionIssuerID47065477701DescriptionMedicaidIssuerUnlistedNebraskaID7125297638DescriptionOtherIssuerNDE STAFF IDNebraska