Organization
LAKE LOVELAND AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J LILLIS M.D (PRESIDENT)
(970) 667-3116
Entity
Organization
Contact information
Practice address
790 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 667-3116
(970) 669-0159
Mailing address
790 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 667-3116
(970) 669-0159
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0855
CO
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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