Individual
LORI A. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-0191
(770) 535-0916
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051262
GA
208M00000X
Hospitalist Physician
Primary
051262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946701B
—
GA
05
—
000946701C
—
GA
05
—
000946701D
—
GA
05
—
000946701E
—
GA
01
—
10044700
AMERIGROUP
GA
01
—
336359
WELLCARE
GA
01
—
52893003
BCBS
GA
01
—
6755985
CIGNA
GA
01
—
7486156
AETNA
GA
01
—
8940029
UNITED HEALTHCARE
GA
01
—
P00117237
RR MEDICARE-GRP # CC4177
GA
Enumeration date
01/27/2006
Last updated
02/24/2021
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