Individual
LEE DAVID LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
381 MOODY ST, WALTHAM, MA 02453-5208
(781) 894-1094
(781) 894-0210
Mailing address
381 MOODY ST, WALTHAM, MA 02453-5208
(781) 894-1094
(781) 894-0210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356425
—
MA
01
—
112137
EYEMED
MA
01
—
152101
HARVARD PILGRIM HEALTHCAR
MA
01
—
2200464
UNITED HEALTHCARE
MA
01
—
28445
AETNA
MA
01
—
722336
TUFTS
MA
01
—
W16225
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/03/2006
Last updated
07/08/2007
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