Provider Demographics
NPI:1992052666
Name:LERNER, KATHARINE LORRAINE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:LORRAINE
Last Name:LERNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:KATHARINE
Other - Middle Name:LORRAINE
Other - Last Name:MANCRONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3649 N VERMILION ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832
Mailing Address - Country:US
Mailing Address - Phone:217-655-7210
Mailing Address - Fax:217-655-7265
Practice Address - Street 1:3649 N VERMILION ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832
Practice Address - Country:US
Practice Address - Phone:217-655-7210
Practice Address - Fax:217-655-7265
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038183183500000X
IL051298123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist