# ASC LONE TREE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ICON Surgery Center of Denver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053711275
- **Authorized official:** CHRISTIAN ELLISON (CEO)
- **Authorized official phone:** (720) 273-7449

## Contact information

- **Practice address:** 10520 EL DIENTE CT, ENGLEWOOD, CO 80112-2656
- **Practice address phone:** (720) 524-1001
- **Practice address fax:** (720) 524-1121
- **Mailing address:** 3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
- **Mailing address phone:** (303) 800-2078
- **Mailing address fax:** (303) 800-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 08/20/2020