| Lana M Stern Phd Pa | |
|
1450 Madruga Ave Suite 310 Coral Gables FL 33146-3148 | |
| (305) 448-5006 | |
| (305) 663-5809 |
| Full Name | Lana M Stern Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1450 Madruga Ave, Coral Gables, Florida |
| Authorized Official Name and Position | Lana Martha Stern (PRESIDENT) |
| Authorized Official Contact | 3054485006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana M Stern Phd Pa 1450 Madruga Ave Suite 310 Coral Gables FL 33146-3148 Ph: (305) 448-5006 | Lana M Stern Phd Pa 1450 Madruga Ave Suite 310 Coral Gables FL 33146-3148 Ph: (305) 448-5006 |
| NPI Number | 1548483324 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/29/2008 |
| Medicare PECOS PAC ID | 7214004126 |
|---|---|
| Medicare Enrollment ID | O20080918000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548483324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY 3769 (Florida) | Primary |
| Provider Name | Lana M Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205004892 PECOS PAC ID: 2860569779 Enrollment ID: I20200511000121 |
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