Land of Lakes Orthotics & Prosthetics
NPI #1790787216 in Plymouth, Minnesota
Provider Information
- NPI Number
- 1790787216
- Entity Type
- Organization
- Organization Name
- Land of Lakes Orthotics & Prosthetics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 15, 2005
- Last Updated
- May 26, 2011
Practice Location
Authorized Official
- Name
- MR. CLARK V POULSON, CPO
- Title
- PROSTHETIST ORTHOTIST
- Phone
- (952) 745-3004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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