Organization
THE PARKER SKIN & AESTHETIC CLININ
Active
Organization
THE PARKER SKIN & AESTHETIC CLININ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA PARKER M.D. (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
3733 PARK EAST DR, SUITE 104, BEACHWOOD, OH 44122-4338
(216) 464-7333
(216) 464-2696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16492-NP
OH
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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