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NPI Code Detail

MEDICARE: RACHEL E. LERNER M.D.

MEDICARE:   RACHEL E. LERNER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician43416MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073549986
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL E. LERNER M.D.
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : PO BOX 1309 MAIL STOP 21110Q
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 952-993-3230
Fax Number :
Provider Business Practice Location Address
First Line : 3931 LOUISIANA AVE S
Second Line : STE E400
City : SAINT LOUIS PARK
State : MN
Zip : 55426-5000
Country : US
Telephone Number : 952-993-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 03/03/2016

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Directions to “ RACHEL E. LERNER M.D.” Practice Location

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