Provider Demographics
NPI:1356720189
Name:AKERS, LISA MARIE (LAC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:AKERS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:444 PAULA DR N APT 330
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-1899
Mailing Address - Country:US
Mailing Address - Phone:727-412-0286
Mailing Address - Fax:727-683-9369
Practice Address - Street 1:126 3RD AVE N
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3667
Practice Address - Country:US
Practice Address - Phone:727-412-0286
Practice Address - Fax:727-683-9369
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3048171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist