Basic Information
| Provider Information | |||||||||
| NPI: | 1831489418 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LERNER | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 W 30TH ST APT 15N | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100011368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304145537 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41 MALL RD LAHEY HOSPITAL AND MEDICAL CTR | ||||||||
| Address2: | |||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018053464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817448630 | ||||||||
| FaxNumber: | 7817445581 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2011 | ||||||||
| LastUpdateDate: | 08/18/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 262740 | MA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084A2900X | 315276 | NY | N |
No ID Information.