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Land Of Lakes Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Plymouth, Minnesota
NPI 1790787216

Land Of Lakes Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Plymouth, MN. Land Of Lakes Orthotics & Prosthetics practices in Plymouth, MN. The NPI Number for Land Of Lakes Orthotics & Prosthetics is 1790787216 and holds a License No. (Minnesota).

The current practice location address for Land Of Lakes Orthotics & Prosthetics is 14395 23Rd Ave N, Plymouth, MN and can be reached out via phone at 952-745-3004 and via fax at 952-745-3010.

Location: 14395 23Rd Ave N, Plymouth, MN, 55447-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790787216
Provider Name
Land Of Lakes Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
14395 23Rd Ave N, Plymouth, MN, 55447-4704
Phone Number
952-745-3004
Fax Number
952-745-3010
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8200254 01 MN MEDICA
562317100 05 MN
121144 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
14395 23Rd Ave N
City
Plymouth
State
Minnesota
Zip
55447-4704
Phone Number
952-745-3004
Fax Number
952-745-3010
person
Provider Business Mailing Address Details
Address
14395 23Rd Ave N
City
Plymouth
State
Minnesota
Zip
55447-4704
Phone Number
952-745-3004
Fax Number
952-745-3010
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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