Individual
LISA A KANAKRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
5154 OKEECHOBEE BLVD, SUITE 201, WEST PALM BEACH, FL 33417-4501
(561) 683-1400
(561) 683-6773
Mailing address
15802 92ND WAY N, JUPITER, FL 33478-6937
(561) 512-0049
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2200402
FL
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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