Provider Demographics
NPI:1952611485
Name:PARKER, LINDSEY M (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 CHECKERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4380
Mailing Address - Country:US
Mailing Address - Phone:859-338-7795
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST.
Practice Address - Street 2:MS 108A
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1805
Practice Address - Country:US
Practice Address - Phone:859-323-0616
Practice Address - Fax:859-257-8902
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA1212363A00000X
KY1212363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant