Individual
LYDIA U PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3737 PARK EAST DR STE 109, BEACHWOOD, OH 44122-4329
(216) 464-7333
(216) 464-2696
Mailing address
3737 PARK EAST DR, STE 109, BEACHWOOD, OH 44122-4329
(216) 464-7333
(216) 464-2696
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-058810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133296
ANTHEM BCBS
OH
05
—
0953044
—
OH
Enumeration date
07/04/2006
Last updated
06/16/2021
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