Provider Demographics
NPI:1992036933
Name:DON N. LERNER, MD, P.A.
Entity Type:Organization
Organization Name:DON N. LERNER, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-398-5301
Mailing Address - Street 1:836 PRUDENTIAL DR STE 1802
Mailing Address - Street 2:SUITE 1802
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8345
Mailing Address - Country:US
Mailing Address - Phone:904-398-5301
Mailing Address - Fax:904-398-1286
Practice Address - Street 1:836 PRUDENTIAL DR STE 1802
Practice Address - Street 2:SUITE 1802
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8345
Practice Address - Country:US
Practice Address - Phone:904-398-5301
Practice Address - Fax:904-398-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65425207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL23196XMedicare PIN