Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lillian Deann Cannon, PA

Individual provider Physician Assistant · NPI 1174875991

Mrs. Lillian Deann Cannon, PA is a Physician Assistant in Casper, Wyoming. Qualified in 2012, 14 years ago. Practices with Community Health Center of Central Wyoming Inc, a 27-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2241 Farnum St Ste 105
Casper, WY 82609-4108
Phone: (307) 295-7288
Fax: (307) 333-1352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174875991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2012
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Community Health Center Of Central Wyoming Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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