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LAKER PROSTHETICS NPI 1154894046


NPI Information

NPI: 1154894046
Provider Name: LAKER PROSTHETICS
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
5181 PLAINFIELD AVE NE
SUITE D
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 490-8564
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LAKER PROSTHETICS is a prosthetist in Grand Rapids, MI. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. LAKER PROSTHETICS NPI is 1154894046. The provider is registered as an organization entity type.

The provider's business location address is:

5181 PLAINFIELD AVE NE
SUITE D
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 490-8564
Fax: (616) 469-2962

The provider's authorized official is Sean Paul Taylor .
The authorized official title is Owner and has the following contact phone number (616) 490-8564.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 7/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierNo
2224P00000XProsthetistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP03634OTHERABC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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