Provider Demographics
NPI:1447455464
Name:LERNER, LENA (MD)
Entity type:Individual
Prefix:DR
First Name:LENA
Middle Name:
Last Name:LERNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:LERNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1500 LOCUST ST
Mailing Address - Street 2:#4007
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4329
Mailing Address - Country:US
Mailing Address - Phone:215-790-9973
Mailing Address - Fax:215-732-1857
Practice Address - Street 1:1500 LOCUST ST
Practice Address - Street 2:#4007
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-4329
Practice Address - Country:US
Practice Address - Phone:215-790-9973
Practice Address - Fax:215-732-1857
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD30252-E208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery