Healthcare Provider Details

I. General information

NPI: 1548230170
Provider Name (Legal Business Name): DON N. LERNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 PRUDENTIAL DR SUITE 1802
JACKSONVILLE FL
32207-8334
US

IV. Provider business mailing address

836 PRUDENTIAL DR SUITE 1802
JACKSONVILLE FL
32207-8334
US

V. Phone/Fax

Practice location:
  • Phone: 904-398-5301
  • Fax: 904-398-1286
Mailing address:
  • Phone: 904-398-5301
  • Fax: 904-398-1286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME65425
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: