Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Land of Lakes Orthotics & Prosthetics

Organization Prosthetic/Orthotic Supplier · NPI 1790787216

Land of Lakes Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier in Plymouth, Minnesota. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

14395 23rd Ave N
Plymouth, MN 55447-4704
Phone: (952) 745-3004
Fax: (952) 745-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1790787216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Poulson — Prosthetist Orthotist · (952) 745-3004
NPI enumeratedAugust 15, 2005
Last updated in NPPESMay 26, 2011
Mailing address14395 23rd Ave N, Plymouth, MN 55447-4704

Other providers in Plymouth