Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME65425 | FL |
NPI | 1548230170 |
---|---|
Provider Name | Don N. Lerner |
First Address | Jacksonville, FL 32207-8334 |
Second Address | Jacksonville, FL 32207-8334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 19/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E37633 | (02) | FL |