Individual
LISA KAYE CANNADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1918 RANDOLPH RD STE 130, CHARLOTTE, NC 28207-1107
(704) 316-6005
(704) 316-6006
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2020-00453
NC
207XX0801X
Orthopaedic Trauma Physician
2008025528
MO
207XX0801X
Orthopaedic Trauma Physician
M1558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205895513
—
MO
05
—
174517601
—
TX
Enumeration date
03/23/2006
Last updated
08/26/2025
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