Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | A104207 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | N4550 | TX |
NPI | 1285865204 |
---|---|
Provider Name | Andres Lerner |
First Address | O Fallon, IL 62269-2579 |
Second Address | O Fallon, IL 62269-2579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2009 |
Last Update Date | 06/01/2022 |