LAKE PROSTHETICS AND RESEARCH, LLC – NPI #1164711420
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

LAKE PROSTHETICS AND RESEARCH, LLC is a DME Supplier located in EULESS, TX. NPPES has assigned the NPI number 1164711420 to LAKE PROSTHETICS AND RESEARCH, LLC on April 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 15 years ago on Aug 31, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE PROSTHETICS AND RESEARCH, LLC below.

NPI Profile for
LAKE PROSTHETICS AND RESEARCH, LLC

NPI Number
1164711420
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE PROSTHETICS AND RESEARCH, LLC
Primary location
350 WESTPARK WAY
SUITE 108
EULESS, TX 76040-3964
Phone: (817) 358-1500 Fax: (682) 224-8430
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH LAKE
CHIEF CLINICAL DIRECTOR
Phone: (817) 358-1500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)		 TX 80

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.