Provider Demographics
NPI:1164662185
Name:LERNER, LORI A (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:A
Last Name:LERNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 OAKWOOD DR
Mailing Address - Street 2:APT. 105S
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1002
Mailing Address - Country:US
Mailing Address - Phone:610-283-1524
Mailing Address - Fax:
Practice Address - Street 1:1637 OAKWOOD DR
Practice Address - Street 2:APT. 105S
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1002
Practice Address - Country:US
Practice Address - Phone:610-283-1524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034942E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry