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Individual

JONATHAN LERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0350
Mailing address
PO BOX 64362, BALTIMORE, MD 21264-4362

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02062
MD

Other

Enumeration date
06/16/2006
Last updated
10/31/2014
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