Provider Demographics
NPI:1851051072
Name:CAPERNA, LAINIE
Entity Type:Individual
Prefix:
First Name:LAINIE
Middle Name:
Last Name:CAPERNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 LINTON BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6689
Mailing Address - Country:US
Mailing Address - Phone:561-501-4392
Mailing Address - Fax:
Practice Address - Street 1:4900 LINTON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6689
Practice Address - Country:US
Practice Address - Phone:561-501-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5503237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist