Organization
CORNERSTONE SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MACTAGGERT MD (CEO)
(206) 819-2216
Entity
Organization
Contact information
Practice address
7237 CHURCH RANCH BLVD UNIT 408, WESTMINSTER, CO 80021-6064
(303) 339-4056
(303) 339-4061
Mailing address
6798 VILLA LN, BERTHOUD, CO 80513-9001
(720) 252-3994
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
11/09/2023
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