| NPI | 1891853222 |
|---|---|
| Doing Business As | LSI FOOT CLINIC #1 |
| Entity Type | Organization |
| Authorized Contact | REED K BURK Owner 918-458-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 202) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 201) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |