Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 38911 | KY |
NPI | 1083630750 |
---|---|
Provider Name | Lynn P. Parker |
First Address | Chicago, IL 60677-6347 |
Second Address | Louisville, KY 40202-1840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000341262 | ANTHEM PSC (01) | KY |
000000342789 | ANTHEM FOUNDATION (01) | KY |
200321090 | (05) | IN |
50005114 | PASSPORT SPECIALITY PSC (01) | KY |
50005116 | PASSPORT SPECIALITY FOUNDATION (01) | KY |
50005401 | PASSPORT PCP FOUNDATION (01) | KY |
64019045 | (05) | KY |
G74249 | (02) | KY |