1790787216 LAND OF LAKES ORTHOTICS & PROSTHETICS
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- LAND OF LAKES ORTHOTICS & PROSTHETICS
- Enumeration Date
- August 15, 2005
- Last Update
- May 26, 2011
- Authorized Official
- MR. CLARK V POULSON CPO
PROSTHETIST ORTHOTIST
Phone: (952) 745-3004
Practice Location
- Address
- 14395 23RD AVE N
PLYMOUTH, MN 554474704 - Phone
- (952) 745-3004
- Fax
- (952) 745-3010
Mailing Address
- Address
- 14395 23RD AVE N
PLYMOUTH, MN 554474704 - Phone
- (952) 745-3004
- Fax
- (952) 745-3010
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8200254 | 01 | MN | MEDICA |
| 562317100 | 05 | MN | N/A |
| 121144 | 01 | MN | UCARE |
Frequently Asked Questions
What is LAND OF LAKES ORTHOTICS & PROSTHETICS's NPI number?
LAND OF LAKES ORTHOTICS & PROSTHETICS's NPI number is 1790787216.
Which doctor has NPI number 1790787216?
The doctor with NPI number 1790787216 is LAND OF LAKES ORTHOTICS & PROSTHETICS.
What is LAND OF LAKES ORTHOTICS & PROSTHETICS's practice address?
LAND OF LAKES ORTHOTICS & PROSTHETICS's practice address is 14395 23RD AVE N, PLYMOUTH, MN, 554474704.
Which doctor practices at 14395 23RD AVE N, PLYMOUTH, MN, 554474704?
LAND OF LAKES ORTHOTICS & PROSTHETICS practices at 14395 23RD AVE N, PLYMOUTH, MN, 554474704.
What is LAND OF LAKES ORTHOTICS & PROSTHETICS's phone number?
LAND OF LAKES ORTHOTICS & PROSTHETICS's phone number is (952) 745-3004.
Who is (952) 745-3004?
(952) 745-3004 is the phone number for LAND OF LAKES ORTHOTICS & PROSTHETICS.
What is LAND OF LAKES ORTHOTICS & PROSTHETICS's specialty?
LAND OF LAKES ORTHOTICS & PROSTHETICS's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is LAND OF LAKES ORTHOTICS & PROSTHETICS?
LAND OF LAKES ORTHOTICS & PROSTHETICS is a Prosthetic/Orthotic Supplier.
Is LAND OF LAKES ORTHOTICS & PROSTHETICS a Prosthetic/Orthotic Supplier?
Yes, LAND OF LAKES ORTHOTICS & PROSTHETICS is a Prosthetic/Orthotic Supplier.
Is LAND OF LAKES ORTHOTICS & PROSTHETICS still practicing?
Yes, LAND OF LAKES ORTHOTICS & PROSTHETICS is currently practicing.
Is LAND OF LAKES ORTHOTICS & PROSTHETICS accepting new patients?
LAND OF LAKES ORTHOTICS & PROSTHETICS may be accepting new patients. Please call their office at (952) 745-3004 to inquire about availability.
Is NPI 1790787216 still active?
Yes, NPI 1790787216 is currently active.
Where does LAND OF LAKES ORTHOTICS & PROSTHETICS practice?
LAND OF LAKES ORTHOTICS & PROSTHETICS practices in PLYMOUTH, MN.