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NPI Code Detail

MEDICARE: NORA P LERNER PA-C

MEDICARE: NORA P LERNER PA-C
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
11710I1003XIndependent Duty Medical Technicians
2363A00000XPhysician Assistant8681AZ

General Provider Information

NPI Number : 1881912202
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA P LERNER PA-C
Provider Business Mailing Address
First Line : 19224 W PUGET AVE
Second Line :
City : WADDELL
State : AZ
Zip : 85355-9836
Country : US
Telephone Number : 623-262-7915
Fax Number :
Provider Business Practice Location Address
First Line : 7701 W ASPERA BLVD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-7947
Country : US
Telephone Number : 623-248-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2010
Last Update Date : 09/21/2021

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Directions to “ NORA P LERNER PA-C” Practice Location

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