Individual
LAWRENCE LERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 E MAIN ST, EAST DUNDEE, IL 60118-1529
(847) 428-2273
(847) 428-3128
Mailing address
455 E MAIN ST, EAST DUNDEE, IL 60118-1529
(847) 428-2273
(847) 428-3128
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036048969
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048969
—
IL
Enumeration date
07/28/2006
Last updated
02/24/2014
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