MEDICARE: DR. EDWARD M LEHRNER DDS

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	122300000X	Dentist	20223	CA

General Provider Information

NPI Number	:	1104983030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD M LEHRNER DDS

Provider Business Mailing Address
First Line	:	10921 WILSHIRE BLVD
Second Line	:	SUITE #1203
City	:	LOS ANGELES
State	:	CA
Zip	:	90024
Country	:	US
Telephone Number	:	310-208-6049
Fax Number	:	310-208-4922

Provider Business Practice Location Address
First Line	:	10921 WILSHIRE BLVD
Second Line	:	SUITE #1203
City	:	LOS ANGELES
State	:	CA
Zip	:	90024
Country	:	US
Telephone Number	:	310-208-6049
Fax Number	:	310-208-4922

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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