Provider Demographics
NPI:1386696342
Name:LERNER, ERIK S (DC)
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:S
Last Name:LERNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405-D S. HIAWASSEE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5786
Mailing Address - Country:US
Mailing Address - Phone:407-292-0909
Mailing Address - Fax:407-292-4660
Practice Address - Street 1:1405-D S. HIAWASSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5786
Practice Address - Country:US
Practice Address - Phone:407-292-0909
Practice Address - Fax:407-292-4660
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381825000Medicaid
FL55193OtherBLUE CROSS BLUE SHIELD
FL381825000Medicaid
FL55193OtherBLUE CROSS BLUE SHIELD