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Kanika Lanese Baker
Prosthetic/Orthotic Supplier in Brooklyn Park, Minnesota
NPI 1619578648

Kanika Lanese Baker is a Prosthetic/Orthotic Supplier based in Maple Grove, MN. Kanika Lanese Baker practices in Brooklyn Park, MN. The NPI Number for Kanika Lanese Baker is 1619578648 and holds a License No. 18438613 (Minnesota).

The current practice location address for Kanika Lanese Baker is 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN and can be reached out via phone at 888-507-6235. You can also correspond with Kanika Lanese Baker through the mailing address at 12526 74TH AVE N, MAPLE GROVE, MN - 55369-5290 (mailing address contact number: 612-458-7857).

Location: 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN, 55369-5290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619578648
Provider Name
Kanika Lanese Baker
Credential
Provider Entity Type
Individual
Gender
Female
Address
7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN, 55369-5290
Phone Number
888-507-6235
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7240 Brooklyn Blvd Ste 150
City
Brooklyn Park
State
Minnesota
Zip
55429-1274
Phone Number
888-507-6235
Fax Number
person
Provider Business Mailing Address Details
Address
12526 74Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-5290
Phone Number
612-458-7857
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
18438613 (Minnesota)
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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