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NPI Code Detail

MEDICARE: MS. ELIZABETH GAIL LERNER L.C.S.W.

MEDICARE: MS. ELIZABETH GAIL LERNER L.C.S.W.
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
11041C0700XClinical Social WorkerSW5266FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126-4749144OTHERFLPRIVATE PRACTICE

General Provider Information

NPI Number : 1164710166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH GAIL LERNER L.C.S.W.
Provider Business Mailing Address
First Line : 800 VILLAGE SQUARE XING
Second Line : SUITE 218
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4540
Country : US
Telephone Number : 561-758-3795
Fax Number :
Provider Business Practice Location Address
First Line : 800 VILLAGE SQUARE XING
Second Line : SUITE 218
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4540
Country : US
Telephone Number : 561-758-3795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 07/12/2011

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