Individual
MR. LARAN JOHNATHON LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
LL008800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113128216
—
MI
01
—
383170766
COMMERCIAL
MI
01
—
700H213850
BCBSM
MI
Enumeration date
05/04/2006
Last updated
08/08/2008
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