Provider Demographics
NPI:1467991877
Name:LERNER, MARTHA MARIA (CLD)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:MARIA
Last Name:LERNER
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7902 NW 18TH CT
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6830
Mailing Address - Country:US
Mailing Address - Phone:305-968-3735
Mailing Address - Fax:
Practice Address - Street 1:7902 NW 18TH CT
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-6830
Practice Address - Country:US
Practice Address - Phone:305-968-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3-201604374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula