Provider Demographics
NPI:1538190749
Name:LERNER, HILARY J (MD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:J
Last Name:LERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 MANTI TERRACE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526
Mailing Address - Country:US
Mailing Address - Phone:925-432-9300
Mailing Address - Fax:925-432-9600
Practice Address - Street 1:2260 GLADSTONE DR STE 4
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5125
Practice Address - Country:US
Practice Address - Phone:925-432-9300
Practice Address - Fax:925-432-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA040939207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A409390Medicaid
00A409390Medicare ID - Type Unspecified
CADS608ZMedicare PIN
CA00A409390Medicaid