Provider Demographics
NPI:1942383948
Name:PARSONS, LONNIE TERRELL (PA)
Entity Type:Individual
Prefix:
First Name:LONNIE
Middle Name:TERRELL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 9TH AVE SW STE 200
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7839
Mailing Address - Country:US
Mailing Address - Phone:205-481-7485
Mailing Address - Fax:205-481-7494
Practice Address - Street 1:975 9TH AVE SW STE 200
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7839
Practice Address - Country:US
Practice Address - Phone:205-481-7485
Practice Address - Fax:205-481-7494
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA497363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical