MEDICARE: DR. RENE LERER 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
1	207R00000X	Internal Medicine Physician	023737	CT

General Provider Information

NPI Number	:	1982826616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENE LERER M.D.

Provider Business Mailing Address
First Line	:	29 SAINT ANDREWS DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-4050
Country	:	US
Telephone Number	:	860-673-8702
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 SAINT ANDREWS DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-4050
Country	:	US
Telephone Number	:	860-673-8702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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