Organization
LAKE NORMAN ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT F BEYER C.P.O. (OWNER)
(704) 822-8005
Entity
Organization
Contact information
Practice address
1095 S HIGHWAY 16, STANLEY, NC 28164-8709
(704) 822-8005
(704) 822-8828
Mailing address
1095 S HIGHWAY 16, STANLEY, NC 28164-8709
(704) 822-8005
(704) 822-8828
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046AJ
BCBS
NC
01
—
6487083
CIGNA
NC
05
—
7703034
—
NC
Enumeration date
12/14/2005
Last updated
08/21/2013
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