Organization
LIMB SALVAGE INTERNATIONAL
Active
Other names
LSI Shoe Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIET C BURK DPM (OWNER)
(918) 456-3222
Entity
Organization
Contact information
Practice address
1 PLAZA SOUTH ST PMB 140, TAHLEQUAH, OK 74464-4750
(918) 458-9888
(918) 458-9977
Mailing address
217 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-2725
(918) 456-3222
(918) 456-3196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
201
OK
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7676
RR MEDICARE GROUP #
OK
01
—
P00086097
RR MEDICARE # DR J BURK
KS
01
—
P0071200
DR R BURK INDIV RR MEDICA
OK
Enumeration date
12/06/2006
Last updated
08/22/2020
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