Land Of Lakes Orthotics & Prosthetics is a Prosthetic & Orthotic Supplier (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 Center 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.
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
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
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.