Land Of Lakes Orthotics & Prosthetics

LBN: Land Of Lakes Orthotics & Prosthetics
Land Of Lakes Orthotics & Prosthetics is an health care organization with primary practice located at 14395 23Rd Ave N , Plymouth MN 55447-4704. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Land Of Lakes Orthotics & Prosthetics can be contacted via phone (952) 745-3004, or through Poulson, Clark V via phone (952) 745-3004.

Contact Information

Primary practice address
14395 23Rd Ave N Plymouth MN 55447-4704
Phone: (952) 745-3004
Fax: (952) 745-3010
Website:
Map and Directions
Authorized official contact:
Name: Poulson, Clark V CPO
Phone: (952) 745-3004

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1790787216
LBN Legal business name Land Of Lakes Orthotics & Prosthetics
DBA Doing business as
Authorized official Poulson, Clark V CPO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated May 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790787216 NPPES
Minnesota Other 8200254 MEDICA
Minnesota MEDICAID 562317100 MEDICA
Minnesota Other 121144 MEDICA

Popular Providers