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LILLYWYTE LLC
NPI 1013194380
Physician Assistant - Surgical in Lone Tree, CO

Active since January 29, 2008
8418 COLONIAL DR, LONE TREE, CO 80124(281) 462-1285(281) 462-1554 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lillywyte Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLYWYTE LLC (NPI 1013194380) is a healthcare organization registered as a surgical in Lone Tree, Colorado and active in the NPI registry since January 2008. The organization lists Shelly Jatana, Representative, as its authorized official.

NPPES Registry Identity

NPI1013194380
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameLILLYWYTE LLC
Location Address8418 COLONIAL DRLone Tree, CO 80124-9738
Mailing AddressPo Box 1288Crosby, TX 77532-1288 · (281) 462-1285 · Fax (281) 462-1554
Phone(281) 462-1285
Fax(281) 462-1554
Organization SubpartNo
Authorized OfficialShelly JatanaRepresentative · (303) 944-4085
Enumeration DateJanuary 29, 2008
Last NPPES UpdateJune 17, 2010
✔ NPI 1013194380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 2612
8418 COLONIAL DR, Lone Tree, CO 80124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillywyte LLC's NPI number?

The NPI number for Lillywyte LLC is 1013194380. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Lillywyte LLC located?

Lillywyte LLC is located at 8418 Colonial Dr, Lone Tree, CO 80124. The listed phone number is (281) 462-1285.

What is Lillywyte LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Lillywyte LLC was last updated on June 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.