Individual
LISA L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-0056
(833) 707-1944
Mailing address
320 W MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-1940
(417) 461-0056
(833) 707-1944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2002003297
MO
207Q00000X
Family Medicine Physician
Primary
2002003297
MO
Other
Enumeration date
03/29/2007
Last updated
03/11/2023
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