Land Of Lakes Orthotics & Prosthetics
Prosthetic & Orthotic Supplier
14395 23rd Ave N, Plymouth
Minnesota, 55447-4704
952-745-3004 952-745-3010
Maps & DirectionsLand Of Lakes Orthotics & Prosthetics is a Prosthetic & Orthotic Supplier in Plymouth, Minnesota. It is situated at 14395 23rd Ave N, Plymouth and its contact number is 952-745-3004. The authorized person of Land Of Lakes Orthotics & Prosthetics is Mr. Clark V Poulson
who is Prosthetist Orthotist of the store and his/her contact number is 952-745-3004. Other organizations associated with this store are Lakes Orthotics & Prosthetics Inc, Land Of Lakes Orthotics & Prosthetics,
Land Of Lakes Orthotics & Prosthetics is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Land Of Lakes Orthotics & Prosthetics Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 14395 23rd Ave N, Plymouth,
Minnesota, 55447-4704 |
| Phone: | 952-745-3004 |
| Fax: | 952-745-3010 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Clark V Poulson |
| Position: | Prosthetist Orthotist |
| Contact Number: | 952-745-3004 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Land Of Lakes Orthotics & Prosthetics center are as mentioned below.
| NPI Number: | 1790787216 |
| NPI Enumeration Date: | 15 Aug, 2005 |
| NPI Last Update On: | 26 May, 2011 |
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Lakes Orthotics & Prosthetics Inc | Prosthetic/orthotic Supplier | 1316488307 |
| Land Of Lakes Orthotics & Prosthetics | Prosthetic/orthotic Supplier | 1790787216 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Land Of Lakes Orthotics & Prosthetics are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8200254 | Other | Minnesota | Medica |
| 562317100 | Medicaid | Minnesota | |
| 121144 | Other | Minnesota | Ucare |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Land Of Lakes Orthotics & Prosthetics
14395 23rd Ave N,
Plymouth, Minnesota |
| Zip: | 55447-4704 |
| Phone Number: | 952-745-3004 |
| Fax Number: | 952-745-3010 |
Patients can reach Land Of Lakes Orthotics & Prosthetics at
14395 23rd Ave N, Plymouth, Minnesota or can
call to book an appointment on 952-745-3004.
Comments/ Reviews:
Patients can read all the reviews posted for Land Of Lakes Orthotics & Prosthetics below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Land Of Lakes Orthotics & Prosthetics. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.