Provider Demographics
NPI:1821618729
Name:LERNER, HERBERT PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:PAUL
Last Name:LERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10815 ROYAL DEVON WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8650
Mailing Address - Country:US
Mailing Address - Phone:301-520-2115
Mailing Address - Fax:
Practice Address - Street 1:10815 ROYAL DEVON WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-8650
Practice Address - Country:US
Practice Address - Phone:301-520-2115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0040580208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0040580OtherLICENSE NUMBER