MADE LLC NPI 1366784167

NPI Information

  • NPI: 1366784167
  • Provider Name: MADE LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Doing Business As: LAWRENCE A. DAVIS
  • Address: 1882 E 104TH AVE UNIT 936
    THORNTON, CO
    ZIP 80233
  • Phone: (720) 363-3145

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NPI Details

MADE LLC is a surgical physician assistant in Thornton, CO. MADE LLC NPI is 1366784167. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lawrence A. Davis.

The provider's business location address is:

1882 E 104TH AVE UNIT 936
THORNTON, CO
ZIP 80233-336
Phone: (720) 363-3145
Fax: (720) 381-6313

The provider's authorized official is Lawrence Davis .
The authorized official title is Cert. Surg First Assist and has the following contact phone number (720) 363-3145.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/20/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1520COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010801006OTHERCOLORADOCOLORADO DRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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