Individual
MRS. LISA JACQUES CALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13690 US HWY 441 STE 300, LADY LAKE, FL 32159
(352) 750-0678
(352) 750-0523
Mailing address
PO BOX 1086, SUMMERFIELD, FL 34492-1086
(352) 750-0678
(352) 750-0523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA14283
FL
225700000X
Massage Therapist
Primary
MM9387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7261
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/26/2007
Last updated
07/08/2007
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