Most Relevant Information
Provider Data
NPI Number: | 1003592007 |
Provider Name: | GABRIELLA LERNER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 06/23/2023 |
Last Updated: | 01/05/2024 |
Provider Practice Location
3665 N BROADWAY ST
CHICAGO
IL
606134567
Practice Location Phone/Fax
Phone: | 7734964433 |
Fax: |
Provider Mailing Location
3665 N BROADWAY ST
CHICAGO
IL
606134567
Provider Mailing Phone/Fax
Phone: | 7734964433 |
Fax: |