Individual
LISA A CANNATELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 LEESBURG RD, TELFORD, TN 37690-2327
(302) 650-7037
Mailing address
415 LEESBURG RD, TELFORD, TN 37690-2327
(302) 650-7037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91597
TN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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