# LUTHERAN CAMPUS ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Surgery Center at Lutheran
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124086608
- **Authorized official:** JENNIFER DECKER (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (303) 301-7705

## Contact information

- **Practice address:** 12905 W 40TH AVE STE 100, GOLDEN, CO 80401-2791
- **Practice address phone:** (303) 301-7700
- **Practice address fax:** (303) 301-7701
- **Mailing address:** 12905 W 40TH AVE STE 100, GOLDEN, CO 80401-2791
- **Mailing address phone:** (303) 301-7700
- **Mailing address fax:** (303) 301-7701

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 11/14/2024