# CORNERSTONE SURGICAL SUITES, LLC

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

## Provider details

- **NPI number:** 1790557312
- **Authorized official:** LAUREN MACTAGGERT MD (CEO)
- **Authorized official phone:** (206) 819-2216

## Contact information

- **Practice address:** 7237 CHURCH RANCH BLVD UNIT 408, WESTMINSTER, CO 80021-6064
- **Practice address phone:** (303) 339-4056
- **Practice address fax:** (303) 339-4061
- **Mailing address:** 6798 VILLA LN, BERTHOUD, CO 80513-9001
- **Mailing address phone:** (720) 252-3994

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2023
- **Last updated:** 11/09/2023