Provider Demographics
NPI:1669528931
Name:LERNER, DAVID S (LAC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:LERNER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 10TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5708
Mailing Address - Country:US
Mailing Address - Phone:206-323-3277
Mailing Address - Fax:206-860-6807
Practice Address - Street 1:126 10TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5708
Practice Address - Country:US
Practice Address - Phone:206-323-3277
Practice Address - Fax:206-860-6807
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist