Individual
LISA G PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA, NSPMC
Contact information
Practice address
113 LATIGO LANE, SUITE D, CANON CITY, CO 81212-8115
(719) 371-0000
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
APN.0015078-CRNA
CO
363L00000X
Nurse Practitioner
D148418
IA
367500000X
Certified Registered Nurse Anesthetist
RXA-100001
CO
Other
Enumeration date
04/17/2006
Last updated
04/13/2026
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