Provider Demographics
NPI:1689676207
Name:DEERFIELD, LAURIE J (DO)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:J
Last Name:DEERFIELD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:J
Other - Last Name:PETERSON-DEERFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:241 RIVERSIDE DR
Mailing Address - Street 2:UNIT 1907
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117
Mailing Address - Country:US
Mailing Address - Phone:856-397-3970
Mailing Address - Fax:856-397-3970
Practice Address - Street 1:241 RIVERSIDE DR
Practice Address - Street 2:UNIT 1907
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117
Practice Address - Country:US
Practice Address - Phone:856-397-3970
Practice Address - Fax:856-397-3970
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS80792084P0800X
MEDO31562084P0800X
NJ25MB074192084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry