Provider Demographics
NPI:1265451587
Name:LERNER, WILLIAM E (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:LERNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CAMINO DEL MAR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2640
Mailing Address - Country:US
Mailing Address - Phone:858-481-9003
Mailing Address - Fax:858-481-6715
Practice Address - Street 1:1011 CAMINO DEL MAR
Practice Address - Street 2:SUITE 202
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2640
Practice Address - Country:US
Practice Address - Phone:858-481-9003
Practice Address - Fax:858-481-6715
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU01277Medicare UPIN
CADC20678Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER