| Doctor Name: | DR. BURTON LERMAN |
| NPI Number: | 1245549377 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | CFE33167 |
| Business Practice Address: | 305 Heather Cir South Lake Tahoe, CA - 961506126 |
| Business Phone Number: | 5305776806 |
| Business Fax Number: | |
| Mailing Address: | 305 Heather Cir, SOUTH LAKE TAHOE |
| State: | CA |
| Postal Code: | 96150 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | CFE33167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |