Individual
DR. LAKEECIA CANNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP-C
Contact information
Practice address
775 MALABAR RD, MALABAR, FL 32950-3120
(321) 722-8435
(321) 722-8486
Mailing address
PO BOX 60976, PALM BAY, FL 32906-0976
(321) 795-7386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9171717
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9171717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016947100
—
FL
Enumeration date
10/13/2015
Last updated
05/22/2020
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