Healthcare Provider Details

I. General information

NPI: 1891789723
Provider Name (Legal Business Name): ANDREW LERNER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 04/03/2006

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 TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO0001801
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO0001801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: