Provider Demographics
NPI:1922707140
Name:SANDRA S LERNER DO PLLC
Entity Type:Organization
Organization Name:SANDRA S LERNER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-996-8332
Mailing Address - Street 1:29275 NORTHWESTERN HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-5744
Mailing Address - Country:US
Mailing Address - Phone:248-996-8332
Mailing Address - Fax:248-996-8332
Practice Address - Street 1:29275 NORTHWESTERN HWY STE 202
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5744
Practice Address - Country:US
Practice Address - Phone:248-996-8332
Practice Address - Fax:248-996-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty