OrganizationActive
Lakes Orthotics & Prosthetics Inc
NPI 1316488307 · Prosthetic/Orthotic Supplier · Plymouth, MN
Provider details
- NPI number
- 1316488307
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Joseph Perry, Vice President(952) 745-3004
Specialties & taxonomies
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14395 23rd Ave N
Plymouth, MN 55447-4704
Phone: (952) 745-3004
Fax: (952) 745-3010
Street-level locationGet directions
Mailing address
14395 23rd Ave N
Plymouth, MN 55447-4704
Registry dates
- Enumerated
- 2017-03-10
- Last updated
- 2017-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.