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Contact Information

LAKER PROSTHETICS
5181 PLAINFIELD AVE NE
SUITE D
GRAND RAPIDS, MI49525
 Phone: 616-490-8564
 Fax: 616-469-2962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for LAKER PROSTHETICS

NPI Number 1154894046
LBN Legal business name LAKER PROSTHETICS
Authorized official SEAN TAYLOR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2019
Last updated 07/15/2019 - About 7 years ago
Identifiers
Other CP03634 ABC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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