Provider Demographics
NPI:1497944342
Name:ANDREW A LERNER, DPM, PA
Entity Type:Organization
Organization Name:ANDREW A LERNER, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:A
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-745-1480
Mailing Address - Street 1:2141 S. ALTERNATE A1A
Mailing Address - Street 2:SUITE 120
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5085
Mailing Address - Country:US
Mailing Address - Phone:561-745-1480
Mailing Address - Fax:561-745-1024
Practice Address - Street 1:2141 S. ALTERNATE A1A
Practice Address - Street 2:SUITE 120
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5085
Practice Address - Country:US
Practice Address - Phone:561-745-1480
Practice Address - Fax:561-745-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP0-0001801213E00000X
FLPO1801213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K4339Medicare PIN
T-84341Medicare UPIN
FLT84341Medicare UPIN
65012YMedicare PIN