Provider Demographics
NPI:1528081106
Name:LERNER-BRANDON, ALLA (MD)
Entity type:Individual
Prefix:DR
First Name:ALLA
Middle Name:
Last Name:LERNER-BRANDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 SADLER ROAD SUITE 300
Mailing Address - Street 2:PMB#2365
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060
Mailing Address - Country:US
Mailing Address - Phone:804-299-3989
Mailing Address - Fax:804-299-3982
Practice Address - Street 1:4870 SADLER RD SUITE 300
Practice Address - Street 2:PMB#2365
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060
Practice Address - Country:US
Practice Address - Phone:804-299-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012386402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2134184OtherMAMSI
VA558659OtherVALUE OPTIONS
VA182821OtherANTHEM BCBS
VA2241570OtherCIGNA
VA010227992Medicaid
VA810549000OtherMAGELLAN