Lisa G Pearson, DNAP, CRNA, NSPMC
Pain Medicine, Interventional Pain Medicine in Canon City, CO. Individual provider (NPI-1).
NPI number1790749604
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1790749604
- Entity type
- Individual (NPI-1)
- Name
- Lisa G Pearson
- Credential
- DNAP, CRNA, NSPMC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2006
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | APN.0015078-CRNA | CO | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | RXA-100001 | CO | |
| 363L00000X | Nurse Practitioner | D148418 | IA |
Practice location
113 Latigo LaneSuite D
Canon City, CO 81212-8115
Phone 719-371-0000
Mailing address
Po Box 388Newton, KS 67114-0388
Phone 316-281-3700
Other practice locations
1338 Phay Ave
Canon City, CO 81212-2399
Canon City, CO 81212-2399
Phone 719-285-2000
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