LONE TREE SURGERY CENTER LLC NPI 1043819873

NPI Information

LONE TREE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lone Tree, CO. LONE TREE SURGERY CENTER, LLC NPI is 1043819873. The provider is registered as an organization entity type.

The provider's business location address is:

9218 KIMMER DR STE 101
LONE TREE, CO
ZIP 80124-733
Phone: (303) 623-2680

The provider's authorized official is Giancarlo Checa .
The authorized official title is Member and has the following contact phone number (303) 623-2680.

The CLIA number assigned to this NPI record is 06D2049814 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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