Provider Demographics
NPI:1477502573
Name:LERNER, JAMES ROBERT (LAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:LERNER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:HIGGY
Other - Last Name:LERNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1057 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2812
Mailing Address - Country:US
Mailing Address - Phone:530-343-8932
Mailing Address - Fax:530-343-8932
Practice Address - Street 1:1057 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2812
Practice Address - Country:US
Practice Address - Phone:530-343-8932
Practice Address - Fax:530-343-8932
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1524171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist