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Organization

LIMB SALVAGE INTERNATIONAL, INC

Active
Other names
LSI Clinics (LSI Foot, Shoe, Wound or Orthotics)
Organization subpart
No

Provider details

NPI number
Authorized official
JULIET C BURK DPM (COO)
(918) 931-1425
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
10/29/2009
Last updated
10/29/2009
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