Provider Demographics
NPI:1851470983
Name:LERNO, LAWRENCE CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:CRAIG
Last Name:LERNO
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 1:1515 CRESTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-5723
Mailing Address - Country:US
Mailing Address - Phone:562-431-4207
Mailing Address - Fax:
Practice Address - Street 1:5901 EAST 7TH STREET
Practice Address - Street 2:5901 EAST 7TH STREET
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47532207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine