Organization
LIFESTYLE PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EMERSON CP (PRESIDENT)
(978) 688-7900
Entity
Organization
Contact information
Practice address
27 CHARLES ST, NORTH ANDOVER, MA 01845-1664
(978) 688-7900
(978) 688-7938
Mailing address
27 CHARLES ST, NORTH ANDOVER, MA 01845-1664
(978) 688-7900
(978) 688-7938
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
TA1E3F96683073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526341
—
MA
01
—
AA50699
HARVARD PILGRIM HEALTH CA
MA
Enumeration date
02/10/2006
Last updated
08/22/2020
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