IndividualActive
Lisa Pearson, DNAP, CRNA, NSPMC
NPI 1790749604 · Interventional Pain Medicine Physician · Canon City, CO
Provider details
- NPI number
- 1790749604
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DNAP, CRNA, NSPMC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RXA-100001 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
113 Latigo Lane
Suite D
Canon City, CO 81212-8115
Phone: (719) 371-0000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Newton, KS 67114-0388
Additional practice locations (1)
- 1338 Phay AveCanon City, CO 81212-2399Phone: (719) 285-2000
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.