# LAKE LOVELAND AMBULATORY SURGERY CENTER

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

## Provider details

- **NPI number:** 1578604120
- **Authorized official:** DR. PATRICK J LILLIS M.D (PRESIDENT)
- **Authorized official phone:** (970) 667-3116

## Contact information

- **Practice address:** 790 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
- **Practice address phone:** (970) 667-3116
- **Practice address fax:** (970) 669-0159
- **Mailing address:** 790 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
- **Mailing address phone:** (970) 667-3116
- **Mailing address fax:** (970) 669-0159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0855 | CO | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020