# LERNER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891965349
- **Authorized official:** BRIAN C. LERNER M.D. (PRESIDENT)
- **Authorized official phone:** (410) 284-2273

## Contact information

- **Practice address:** 7434 HOLABIRD AVE, BALTIMORE, MD 21222-1829
- **Practice address phone:** (410) 284-2273
- **Practice address fax:** (410) 284-2816
- **Mailing address:** 7434 HOLABIRD AVE, BALTIMORE, MD 21222-1829
- **Mailing address phone:** (410) 284-2273
- **Mailing address fax:** (410) 284-2816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | TA1982 | MD | — |
| 207W00000X | Ophthalmology Physician | D0022694 | MD | Yes |
| 207W00000X | Ophthalmology Physician | D26533 | MD | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 11/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 255261200 | MEDICAL ASSISTANCE | MD |
| 01 | — | 402L | MEDICARE | MD |
| 01 | — | CB9671 | RAILROAD MEDICARE | GA |
| 01 | — | J226 | CAREFIRST | DC |
| 01 | — | KX93LE | CAREFIRST | MD |