Healthcare Provider Details

I. General information

NPI: 1174473854
Provider Name (Legal Business Name): LISA S. LARSON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 ASHRIDGE CT
COLORADO SPRINGS CO
80922-2108
US

IV. Provider business mailing address

6330 ASHRIDGE CT
COLORADO SPRINGS CO
80922-2108
US

V. Phone/Fax

Practice location:
  • Phone: 719-426-8988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1001592
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: