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Individual

GARY ROBERT LERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4650SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2102
(323) 668-1892
Mailing address
6430 SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7900
(323) 669-2337
(323) 644-8488

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
G40014
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G400140
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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