NPI 1154894046

Laker Prosthetics

Organisation Prosthetist Grand Rapids, MI

Practice location

Address: 5181 Plainfield Ave NE Suite D, Grand Rapids, MI 49525
Phone: (616) 490-8564
Fax: (616) 469-2962

Authorised official

Name: Sean Paul Taylor
Title: Owner
Phone: (616) 490-8564

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1154894046
Entity type: Organization
NPI issued: 3 Jan 2019
Record last updated: 15 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.