Individual
MS. LYSMAR KARINA CANCHO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 COMMERCIAL PARK DR, LAKELAND, FL 33801-6569
(863) 345-8090
Mailing address
1510 COMMERCIAL PARK DR, LAKELAND, FL 33801-6569
(863) 345-8090
(863) 606-0146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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