Individual
MRS. LILLIAN DEANN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2241 FARNUM ST STE 105, CASPER, WY 82609-4108
(307) 295-7288
(307) 333-1352
Mailing address
2241 FARNUM ST STE 105, CASPER, WY 82609-4108
(307) 295-7288
(307) 333-1352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
05/23/2025
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