Provider Demographics
NPI:1649229113
Name:PARKER, LISA CAROL (PHLEBOTOMIST ASCP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CAROL
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHLEBOTOMIST ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2906
Mailing Address - Country:US
Mailing Address - Phone:907-222-0940
Mailing Address - Fax:
Practice Address - Street 1:2420 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2906
Practice Address - Country:US
Practice Address - Phone:907-222-0940
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy