LAKE PROSTHETICS AND RESEARCH, LLC
NPI 1164711420
Prosthetic/Orthotic Supplier in Euless, TX

Q: What is the provider's specialty?

The provider's specialty is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since April 06, 2011

350 WESTPARK WAY, SUITE 108, EULESS, TX 76040(817) 358-1500(682) 224-8430 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lake Prosthetics And Research, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE PROSTHETICS AND RESEARCH, LLC (NPI 1164711420) is a healthcare organization registered as a prosthetic/orthotic supplier in Euless, Texas and active in the NPI registry since April 2011. The organization lists Joseph Christopher Lake, Chief Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1164711420

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameLAKE PROSTHETICS AND RESEARCH, LLC

Location Address350 WESTPARK WAY, SUITE 108Euless, TX 76040-3964

Mailing Address350 Westpark Way, Suite 108Euless, TX 76040-3964 · (817) 358-1500 · Fax (682) 224-8430

Phone(817) 358-1500

Fax(682) 224-8430

Organization SubpartNo

Authorized OfficialJoseph Christopher LakeChief Clinical Director · (817) 358-1500

Enumeration DateApril 6, 2011

Last NPPES UpdateAugust 31, 2011

✔ NPI 1164711420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in TX · 80

Definition

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.

350 WESTPARK WAY, Euless, TX 76040

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