Heartland Orthotic & Prosthetic Lab
NPI #1790900678 in Shawnee, Oklahoma
Provider Information
- NPI Number
- 1790900678
- Entity Type
- Organization
- Organization Name
- Heartland Orthotic & Prosthetic Lab
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- LANCE ELIOT FAULKNER, BOC CP PLP02
- Title
- OWNER
- Phone
- (405) 214-1924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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