Provider Demographics
NPI:1225305485
Name:KIEFFER, LAINEY Z (APRN)
Entity type:Individual
Prefix:
First Name:LAINEY
Middle Name:Z
Last Name:KIEFFER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10055 YAMATO RD STE 115
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6102
Mailing Address - Country:US
Mailing Address - Phone:561-948-2020
Mailing Address - Fax:561-785-0802
Practice Address - Street 1:10055 YAMATO RD STE 115
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6102
Practice Address - Country:US
Practice Address - Phone:561-948-2020
Practice Address - Fax:561-785-0802
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9288068207Q00000X, 363LP0808X
FLARNP9288068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health