Organization
GREATER DETROIT PHYSICAL THERAPY & REHABILITATION PC
Active
Other names
LARAN LERNER, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARAN JONATHON LERNER D.O. (PRESIDENT)
(734) 721-0011
Entity
Organization
Contact information
Practice address
1678 S MERRIMAN RD, WESTLAND, MI 48186-5355
(734) 721-0011
(734) 721-0859
Mailing address
1678 S MERRIMAN RD, WESTLAND, MI 48186-5355
(734) 721-0011
(734) 721-0859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L65648884345959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3128216
—
MI
01
—
700H213850
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/01/2006
Last updated
07/25/2013
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