Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST, LLC
Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-MIDWEST,LLC
Authorized official
MR. ERIC LEE MILLER CPO-L (MANAGER)
(859) 268-5708
Entity
Organization
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 268-5649
(859) 268-5714
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO-101
KY
Other
Enumeration date
11/24/2015
Last updated
04/23/2025
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