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Individual

MICHAEL A LERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
63 THOMAS JOHNSON DR, SUITE E, FREDERICK, MD 21702-4384
(301) 694-7600
(301) 228-2500
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0041619
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
926580505
MD
05
926580507
MD
Enumeration date
11/25/2005
Last updated
08/02/2016
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