Individual
LAISHA BLISS CANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
901 NW 8TH AVE STE A1, GAINESVILLE, FL 32601-5000
(352) 271-1211
(352) 379-4884
Mailing address
737 NW 24TH AVE, GAINESVILLE, FL 32609-2958
(352) 271-1211
(352) 379-4884
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0778
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/02/2007
Last updated
07/08/2007
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