Individual
DR. ELIZABETH V LENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 CORPORATE DRIVE, SUITE 240, LADERA RANCH, CA 92694-2111
(949) 364-8411
(949) 364-8511
Mailing address
600 CORPORATE DRIVE, SUITE 240, LADERA RANCH, CA 92694-2111
(949) 364-8411
(949) 364-8511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00754000
BLUE SHIELD GROUP NO
CA
01
—
201666218
PROVIDER TAX ID - S CORP
CA
01
—
A75400
STATE MEDICAL LICENSE NO
CA
01
—
LEZA
WEBMD SITE ID
CA
Enumeration date
11/04/2005
Last updated
02/12/2026
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