Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lillywyte LLC

Organization Surgical Physician Assistant · NPI 1013194380

Lillywyte LLC provides Surgical Physician Assistant services in Lone Tree, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8418 Colonial Dr
Lone Tree, CO 80124-9738 Not confirmed with CMS for 16 years — call before visiting
Phone: (281) 462-1285
Fax: (281) 462-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2612 (CO)

Record details

NPI number1013194380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Jatana — Representative · (303) 944-4085
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJune 17, 2010
Mailing addressPo Box 1288, Crosby, TX 77532-1288

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