Healthcare Provider Details

I. General information

NPI: 1942409941
Provider Name (Legal Business Name): KATHERINE LEE SMITH LAUNER P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 61ST ST N
WEST PALM BEACH FL
33412-1818
US

IV. Provider business mailing address

5401 S CONGRESS AVE STE 201
ATLANTIS FL
33462-6637
US

V. Phone/Fax

Practice location:
  • Phone: 561-855-7454
  • Fax: 561-855-7454
Mailing address:
  • Phone: 954-384-5329
  • Fax: 954-384-0987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1640542
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1640542
License Number StateFL

VIII. Authorized Official

Name: KATHERINE LEE LAUNER
Title or Position: APRN
Credential: APRN
Phone: 561-855-7454