Organization
HACKLEY ORTHOTICS & PROSTHETICS
Active
Other names
Lakeshore Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD MICHAEL LUNSFORD CO (DIRECTOR)
(231) 739-2217
Entity
Organization
Contact information
Practice address
1887 E SHERMAN BLVD, MUSKEGON, MI 49444-1859
(231) 739-2217
(231) 737-6119
Mailing address
1887 E SHERMAN BLVD, MUSKEGON, MI 49444-1859
(231) 739-2217
(231) 737-6119
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530F10776
BCBS
MI
Enumeration date
09/07/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up