# LONE TREE FAMILY PRACTICE PROFESSIONAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487767364
- **Authorized official:** DR. CHESTER M CEDARS M.D. (PRACTICE MANAGER)
- **Authorized official phone:** (303) 225-0025

## Contact information

- **Practice address:** 10103 RIDGEGATE PKWY, SUITE G-23, LONE TREE, CO 80124-5520
- **Practice address phone:** (303) 225-0025
- **Mailing address:** 10103 RIDGEGATE PKWY, SUITE G-23, LONE TREE, CO 80124-5520
- **Mailing address phone:** (303) 225-0025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 04/15/2013