Lakes Region Artificial Limb and Brace Company INC

NPI #1285695783 in Hawley, Minnesota

Provider Information

NPI Number
1285695783
Entity Type
Organization
Organization Name
Lakes Region Artificial Limb and Brace Company INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 1, 2006
Last Updated
Oct 30, 2007

Practice Location

Address
710 VALLEY ST
City
Hawley
ZIP Code
56549
Phone
(218) 486-1963

Authorized Official

Name
MR. KENNETH MARVIN HEIDE, CPO
Title
PRESIDENT
Phone
(218) 486-1963

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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