Lillywyte LLC
NPI #1013194380 in Lone Tree, Colorado
Provider Information
- NPI Number
- 1013194380
- Entity Type
- Organization
- Organization Name
- Lillywyte LLC
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Jun 17, 2010
Practice Location
Authorized Official
- Name
- SHELLY JATANA
- Title
- REPRESENTATIVE
- Phone
- (303) 944-4085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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