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

Made LLC

Organization Surgical Physician Assistant · NPI 1366784167

Made LLC provides Surgical Physician Assistant services in Thornton, Colorado. Licensed in Colorado. Registered with an NPI since 2013.

Licensed in
CO
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1882 E 104th Ave Unit 936
Thornton, CO 80233-4336 Not confirmed with CMS for 13 years — call before visiting
Phone: (720) 363-3145
Fax: (720) 381-6313
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 1520 (CO)

Record details

NPI number1366784167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Davis — Cert. Surg First Assist · (720) 363-3145
Other names Lawrence A. Davis
NPI enumeratedMarch 20, 2013
Last updated in NPPESMarch 20, 2013
Mailing address1882 E 104th Ave Unit 936, Thornton, CO 80233-4336

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