| NPI | 1255436648 |
|---|---|
| Doing Business As | NORTHERN LAKES ORTHOPAEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | REBECCA HURLEY Senior Vice President 214-473-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |