Provider Demographics
NPI:1659521151
Name:LERNER, ALICIA KATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:KATHERINE
Last Name:LERNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11241 E COLONIAL DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4562
Mailing Address - Country:US
Mailing Address - Phone:407-275-9176
Mailing Address - Fax:407-275-9706
Practice Address - Street 1:11241 E COLONIAL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4562
Practice Address - Country:US
Practice Address - Phone:407-275-9176
Practice Address - Fax:407-275-9706
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor