Individual provider · Type 1 NPI

Lillian Deann Cannon, PA

Physician Assistant · Casper, WY

NPI number 1174875991 Active

Practice location

2241 Farnum St Ste 105
Casper, WY 82609-4108

Call (307) 295-7288 Map

Fax (307) 333-1352

Other practice locations

  • 5000 Blackmore Rd, Casper, WY 82609-3345 · (307) 233-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174875991

Lillian Deann Cannon, PA's National Provider Identifier is 1174875991, issued on Oct 3, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Casper, WY. The record was last updated on May 23, 2025.