Lakes Orthotics & Prosthetics INC
Prosthetic/Orthotic Supplier in Plymouth, MN. Organization (NPI-2).
NPI number1316488307
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1316488307
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakes Orthotics & Prosthetics INC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
14395 23rd Ave NPlymouth, MN 55447-4704
Phone 952-745-3004 · Fax 952-745-3010
Mailing address
14395 23rd Ave NPlymouth, MN 55447-4704
Phone 952-745-3004 · Fax 952-745-3010
Authorized official
Joseph Edward Perry
Vice President
9527453004
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