Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | POR254 | FL |
N | 222Z00000X | Podiatrist | POR254 | FL |
Y | 224P00000X | Prosthetist | POR254 | FL |
NPI | 1033734967 |
---|---|
Provider Name | Mr. Cameron Lehrer |
First Address | Honolulu, HI 96816-4175 |
Second Address | Tripler Amc, HI 96859-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2020 |
Last Update Date | 16/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CPO03269 | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS (01) |