Healthcare Provider Details

I. General information

NPI: 1497944342
Provider Name (Legal Business Name): ANDREW A LERNER, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 S. ALTERNATE A1A SUITE 120
JUPITER FL
33477-5085
US

IV. Provider business mailing address

2141 S. ALTERNATE A1A SUITE 120
JUPITER FL
33477-5085
US

V. Phone/Fax

Practice location:
  • Phone: 561-745-1480
  • Fax: 561-745-1024
Mailing address:
  • Phone: 561-745-1480
  • Fax: 561-745-1024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberP0-0001801
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO1801
License Number StateFL

VIII. Authorized Official

Name: ANDREW A LERNER
Title or Position: PRESIDENT / OWNER
Credential: DPM
Phone: 561-745-1480