Doctor Name: | LAWRENCE LERNER |
NPI Number: | 1881608354 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036048969 |
Business Practice Address: | 455 E Main St East Dundee, IL - 601181529 |
Business Phone Number: | 8474282273 |
Business Fax Number: | 8474283128 |
Mailing Address: | 455 E Main St, EAST DUNDEE |
State: | IL |
Postal Code: | 601181529 |
Phone Number: | 8474282273 |
Fax Number: | 8474283128 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 036048969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |