Individual
DR. YERUSALEM LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PODIATRY
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608
(508) 363-5000
Mailing address
123 SUMMER ST, WORCESTER, MA 01608
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0000000837
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
07/31/2019
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