Provider Demographics
NPI:1780733451
Name:LERNER, FREDERICK NEIL (DC, PHD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:NEIL
Last Name:LERNER
Suffix:
Gender:M
Credentials:DC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 S SPALDING DR
Mailing Address - Street 2:#400
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1800
Mailing Address - Country:US
Mailing Address - Phone:310-423-9603
Mailing Address - Fax:310-423-9299
Practice Address - Street 1:120 S SPALDING DR
Practice Address - Street 2:#400
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1800
Practice Address - Country:US
Practice Address - Phone:310-423-9603
Practice Address - Fax:310-423-9299
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13592111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic