Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lillywyte LLC

Organization Surgical Physician Assistant · NPI 1013194380

Lillywyte LLC is a Surgical Physician Assistant 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
Phone: (281) 462-1285
Fax: (281) 462-1554
Show map & directions

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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