Land Of Lakes Orthotics & Prosthetics in Plymouth - Prosthetic/orthotic Supplier
Land Of Lakes Orthotics & Prosthetics - NPI 1790787216
Land Of Lakes Orthotics & Prosthetics is a Prosthetic/orthotic Supplier in Plymouth, Minnesota. Land Of Lakes Orthotics & Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Land Of Lakes Orthotics & Prosthetics is 1790787216. The last update date is 2011-05-26.
Land Of Lakes Orthotics & Prosthetics's current location address is 14395 23rd Ave N, Plymouth, Minnesota. You can contact this provider via phone number 9527453004 and fax number 9527453010. The mailing address for Land Of Lakes Orthotics & Prosthetics is 14395 23rd Ave N, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Land Of Lakes Orthotics & Prosthetics |
|---|---|
| Address | 14395 23rd Ave N, Plymouth, Minnesota |
| Phone Number | 9527453004 |
| Fax Number | 9527453010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROSTHETIS |
|---|---|
| Authorized Official Name | Poulson V Clark |
| Credentials | CPO |
| Telephone Number | 9527453004 |
NPI Number Detail
| NPI Number | 1790787216 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2011-05-26 |
Provider Mailing Address Detail
| Address | 14395 23rd Ave N |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554474704 |
| Phone Number | 9527453004 |
| Fax Number | 9527453010 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8200254 | MN | MEDICA | |
| 562317100 | MN | -- | |
| 121144 | MN | UCARE |
Post Comment/ Review Below
What is the unique identifier code issued to Land Of Lakes Orthotics & Prosthetics by the Centers for Medicare & Medicaid Services?
The Land Of Lakes Orthotics & Prosthetics has been assigned the NPI (National Provider Identifier) 1790787216. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Land Of Lakes Orthotics & Prosthetics is located?
The Land Of Lakes Orthotics & Prosthetics is situated at the following address: 14395 23Rd Ave N, Plymouth, MN, 554474704.
What is Land Of Lakes Orthotics & Prosthetics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Land Of Lakes Orthotics & Prosthetics is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
When was the Land Of Lakes Orthotics & Prosthetics's 1790787216 issued?
The Land Of Lakes Orthotics & Prosthetics's 1790787216 was issued on 2005-08-15.
When was the information pertaining to Land Of Lakes Orthotics & Prosthetics most recently updated or revised?
The details related to Land Of Lakes Orthotics & Prosthetics, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-26.
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