Provider Demographics
NPI:1346473899
Name:LERMAN, ROBERT HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOWARD
Last Name:LERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9770 44TH AVE NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332
Mailing Address - Country:US
Mailing Address - Phone:253-853-7264
Mailing Address - Fax:253-851-3923
Practice Address - Street 1:9770 44TH AVE NW
Practice Address - Street 2:SUITE 102
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332
Practice Address - Country:US
Practice Address - Phone:253-853-7264
Practice Address - Fax:253-851-3923
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00036809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A54745Medicare UPIN