Provider Demographics
NPI:1245630250
Name:PARKER, LAUREN M (PA-C)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:M
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2317 CLOVERDALE AVE
Mailing Address - Street 2:APT D
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2034
Mailing Address - Country:US
Mailing Address - Phone:919-619-3117
Mailing Address - Fax:
Practice Address - Street 1:1200 N ELM ST
Practice Address - Street 2:MOSES CONE EMERGENCY DEPT
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1004
Practice Address - Country:US
Practice Address - Phone:336-207-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2020-10-29
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Provider Licenses
StateLicense IDTaxonomies
NC0010-05162363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical