Parker, Lydia U

Parker, Lydia U is an individual health care provider with primary practice located at 3737 Park East Dr Ste 109 , Beachwood OH 44122-4329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Parker, Lydia U can be contacted via phone (216) 464-7333.

Contact Information

Primary practice address
3737 Park East Dr Ste 109 Beachwood OH 44122-4329
Fax: (216) 464-2696
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35-058810 Ohio

Profile Details

NPI number 1912937079
LBN Legal business name Parker, Lydia U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912937079 NPPES
Ohio Other 000000133296 ANTHEM BCBS
Ohio MEDICAID 0953044 ANTHEM BCBS

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