Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME-48218 | FL |
NPI | 1023015096 |
---|---|
Provider Name | Robert Kevin Lerner |
First Address | Winter Haven, FL 33880-3053 |
Second Address | Winter Haven, FL 33880-3053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D56676 | (02) | FL |