# LIMB SALVAGE INTERNATIONAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LSI Clinics (LSI Foot, Shoe, Wound or Orthotics)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154657948
- **Authorized official:** JULIET C BURK DPM (COO)
- **Authorized official phone:** (918) 931-1425

## Contact information

- **Practice address:** 2210 N 14TH ST, PONCA CITY, OK 74604
- **Practice address phone:** (580) 718-0002
- **Practice address fax:** (580) 718-0003
- **Mailing address:** 1 PLAZA SOUTH ST, PMB 140, TAHLEQUAH, OK 74464-4750
- **Mailing address phone:** (918) 458-9888
- **Mailing address fax:** (918) 458-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 23029 | OK | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 201 | OK | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/29/2009