Provider Demographics
NPI:1659463560
Name:PARKER, LAWRENCE NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:NEIL
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:721 ESPLANADE
Mailing Address - Street 2:#302
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4618
Mailing Address - Country:US
Mailing Address - Phone:310-792-2942
Mailing Address - Fax:310-792-2942
Practice Address - Street 1:721 ESPLANADE
Practice Address - Street 2:#302
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-4618
Practice Address - Country:US
Practice Address - Phone:310-792-2942
Practice Address - Fax:310-792-2942
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG20402207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism