Provider Demographics
NPI:1891789723
Name:LERNER, ANDREW (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:LERNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2013-07-10
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
FLPO0001801213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65012YMedicare ID - Type Unspecified
FLT84341Medicare UPIN