Organization
PARKER SKIN & AESTHETIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA PARKER MD (PRESIDENT)
(216) 464-7333
Entity
Organization
Contact information
Practice address
3733 PARK EAST DR, SUITE #104, BEACHWOOD, OH 44122-4338
(216) 464-7333
(216) 464-2696
Mailing address
3737 PARK EAST DR STE 109, BEACHWOOD, OH 44122-4329
(216) 464-7333
(216) 342-5462
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35-058810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081509
—
OH
Enumeration date
07/18/2006
Last updated
10/30/2023
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