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Individual

DANIELE LERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT STREET, BOSTON, MA 02114-2743
(617) 726-7782
Mailing address
55 FRUIT ST, ELLISON 17, BOSTON, MA 02114-2696
(617) 726-7782

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287493
MA
390200000X
Student in an Organized Health Care Education/Training Program
L-275662
MA

Other

Enumeration date
05/12/2018
Last updated
07/22/2021
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