OrganizationActive
Made LLC
NPI 1366784167 · Surgical Physician Assistant · Thornton, CO
Provider details
- NPI number
- 1366784167
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lawrence Davis, Cert. Surg First Assist(720) 363-3145
- License
- 1520 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1882 E 104th Ave Unit 936
Thornton, CO 80233-4336
Phone: (720) 363-3145
Fax: (720) 381-6313
Street-level locationGet directions
Mailing address
1882 E 104th Ave Unit 936
Thornton, CO 80233-4336
Other names (DBA / former)
- Doing business as
- Lawrence A. Davis
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.