Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 43416 | MN |
NPI | 1073549986 |
---|---|
Provider Name | Rachel E. Lerner |
First Address | Minneapolis, MN 55425-4516 |
Second Address | Saint Louis Park, MN 55426-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 03/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
830000391 | (05) | MN |
I05024 | (02) |