LAWRENCE A. DAVIS
NPI 1366784167
Physician Assistant - Surgical in Thornton, CO

Active since March 20, 2013
1882 E 104TH AVE UNIT 936, THORNTON, CO 80233(720) 363-3145(720) 381-6313 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence A. Davis NPPES

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

LAWRENCE A. DAVIS (NPI 1366784167) is a healthcare organization registered as a surgical in Thornton, Colorado and active in the NPI registry since March 2013. The organization lists Lawrence Davis, Cert. Surg First Assist, as its authorized official.

NPPES Registry Identity

NPI1366784167
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameMADE LLC
Location Address1882 E 104TH AVE UNIT 936Thornton, CO 80233-4336
Mailing Address1882 E 104th Ave Unit 936Thornton, CO 80233-4336 · (720) 363-3145 · Fax (720) 381-6313
Fax(720) 381-6313
Organization SubpartNo
Authorized OfficialLawrence DavisCert. Surg First Assist · (720) 363-3145
Enumeration DateMarch 20, 2013
NPI 1366784167 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 · 1520
1882 E 104TH AVE UNIT 936, Thornton, CO 80233

Other Names 1

Doing Business AsLawrence A. Davis

Other Identifiers 1

Other010801006CO · Colorado Drivers License

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 Made LLC's NPI number?

The NPI number for Made LLC is 1366784167. It was assigned to this organization in the NPPES registry on March 20, 2013. The provider is doing business as Lawrence A. Davis.

Where is Made LLC located?

Made LLC is located at 1882 E 104th Ave Unit 936, Thornton, CO 80233. The listed phone number is (720) 363-3145.

What is Made 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 Made LLC was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.