Individual
LISA LYNETT CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3322602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302810100
—
FL
01
—
7683908
AETNA
FL
01
—
E1905Z
MEDICARE GTBA REASSIGN
FL
01
—
G2538
BCBS
FL
Enumeration date
05/16/2006
Last updated
01/12/2026
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