Individual
PRIOR LEWIS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SANDY HOLLOW RD, MYSTIC, CT 06355-1720
(860) 536-4916
(860) 536-3247
Mailing address
17 WELLS ST, SUITE 102, WESTERLY, RI 02891-2923
(401) 596-0339
(401) 596-3437
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
031338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002011
NEIGHBORHOOD HEALTH PLAN
—
01
—
0000002064
BLUE SHIELD
RI
05
—
001313387
—
CT
01
—
004298
BLUECHIP
RI
01
—
010031338CT01
BLUESHIELD OF CT
CT
01
—
030080
HEALTHNET
—
01
—
180000515
DMERC
—
01
—
966013
UNITED HEALTH CARE
—
01
—
AA33963
HARVARD PILGRIM HEALTH
—
01
—
NLS023
OXFORD
—
Enumeration date
06/28/2006
Last updated
07/08/2007
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