MEDICARE: DR. LENA LERNER 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	208200000X	Plastic Surgery Physician	MD30252-E	PA

General Provider Information

NPI Number	:	1447455464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENA LERNER M.D.

Provider Business Mailing Address
First Line	:	1500 LOCUST ST
Second Line	:	#4007
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4329
Country	:	US
Telephone Number	:	215-790-9973
Fax Number	:	215-732-1857

Provider Business Practice Location Address
First Line	:	1500 LOCUST ST
Second Line	:	#4007
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4329
Country	:	US
Telephone Number	:	215-790-9973
Fax Number	:	215-732-1857

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	07/08/2007

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