Provider Demographics
NPI:1629008123
Name:PARKER, LAWRENCE JAMES JR (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JAMES
Last Name:PARKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD STE A101
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6767
Mailing Address - Country:US
Mailing Address - Phone:251-660-3510
Mailing Address - Fax:251-660-3511
Practice Address - Street 1:6701 AIRPORT BLVD STE A101
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6767
Practice Address - Country:US
Practice Address - Phone:251-660-3510
Practice Address - Fax:251-660-3511
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13492207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051553207Medicaid
C73847Medicare UPIN
C73847Medicare UPIN