Healthcare Provider Details

I. General information

NPI: 1013850056
Provider Name (Legal Business Name): ADAIJA LANIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 S HAVERHILL RD APT 304A
WEST PALM BEACH FL
33415-7384
US

IV. Provider business mailing address

2157 S HAVERHILL RD APT 304A
WEST PALM BEACH FL
33415-7384
US

V. Phone/Fax

Practice location:
  • Phone: 561-370-4668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: