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Organization

METAMORPHOSIS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA GAIL PEARSON DNAP/CRNA (OWNER)
(719) 371-0000
Entity
Organization

Contact information

Practice address
113 LATIGO LANE, SUITE D, CANON CITY, CO 81212-8115
(719) 371-0000
Mailing address
PO BOX 1868, CANON CITY, CO 81215-1868
(719) 371-0000
(888) 965-6893

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.0193071
CO

Other

Enumeration date
07/21/2014
Last updated
10/15/2025
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