Provider Demographics
NPI:1770748980
Name:KORBLY-CANTER, FRANCES (LAC)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:
Last Name:KORBLY-CANTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3613
Mailing Address - Country:US
Mailing Address - Phone:301-699-5996
Mailing Address - Fax:301-699-5996
Practice Address - Street 1:4601 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3613
Practice Address - Country:US
Practice Address - Phone:301-699-5996
Practice Address - Fax:301-699-5996
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00151171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist