MEDICARE: LAINIE CAPERNA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1619848405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAINIE CAPERNA LLC

Provider Business Mailing Address
First Line	:	4831 VIA PALM LKS APT 1215
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-1268
Country	:	US
Telephone Number	:	561-427-9808
Fax Number	:

Provider Business Practice Location Address
First Line	:	4831 VIA PALM LKS APT 1215
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-1268
Country	:	US
Telephone Number	:	561-427-9808
Fax Number	:	561-427-9808

Authorized Official
Title or Position	:	OWNER
Name	:	LAINIE CAPERNA
Credential	:	HAS
Telephone Number	:	561-427-9808

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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