# JAMES LAKE PARKER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** James L Parker MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174913966
- **Authorized official:** DR. JAMES LAKE PARKER M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (205) 373-1574

## Contact information

- **Practice address:** 100 5TH ST NE, ALICEVILLE, AL 35442-2200
- **Practice address phone:** (205) 373-1574
- **Practice address fax:** (205) 373-2653
- **Mailing address:** PO BOX 452, ALICEVILLE, AL 35442-0452
- **Mailing address phone:** (205) 373-1574
- **Mailing address fax:** (205) 373-2653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21969 | AL | Yes |
| 363LF0000X | Family Nurse Practitioner | 1-109137 | AL | — |

## Other

- **Enumeration date:** 01/31/2015
- **Last updated:** 02/09/2015