Provider Demographics
NPI:1144204066
Name:PARKER, ANNIE LIN (MD)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:LIN
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HIGHLAND AVE
Mailing Address - Street 2:LAHEY AT WINCHESTER HOSPITAL
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1446
Mailing Address - Country:US
Mailing Address - Phone:781-756-2260
Mailing Address - Fax:781-756-2973
Practice Address - Street 1:41 HIGHLAND AVE
Practice Address - Street 2:LAHEY AT WINCHESTER HOSPITAL
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1446
Practice Address - Country:US
Practice Address - Phone:781-756-2260
Practice Address - Fax:781-756-2973
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD8639207RP1001X, 207RC0200X
MA234033207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7004290Medicaid
RIF92545Medicare UPIN
RI7004290Medicaid