Individual
DR. CHARLES A LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-2955
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01050194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082124
ANTHEM-351158723
IN
01
—
000000492355
ANTHEM 203778927
IN
01
—
002188
SIHO-351158723
IN
01
—
070450
HEALTH ALLIANCE-351158723
IN
05
—
200204000
—
IN
01
—
300094742
RR MEDICARE-351158723
IN
01
—
959090190
MEDICARE PTAN
IN
01
—
Q0072451
CMOSHO351158723&352047427
IN
Enumeration date
11/09/2005
Last updated
09/01/2023
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