Provider Demographics
NPI:1659473551
Name:LERNER, SUZANNE M (ATC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:M
Last Name:LERNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12018 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-4511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:203A HERITAGE HALL
Practice Address - Street 2:3501 WATT WAY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0602
Practice Address - Country:US
Practice Address - Phone:213-740-5845
Practice Address - Fax:213-740-0504
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer