Lso Orthotics, Co.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1437862 Issued in NY

Legal business name

LSO ORTHOTICS, CO.

Practice address

3724 24TH St Ste 242
Long Island City, NY 11101-3553

Phone

(718) 606-2590

NPI assigned

Jul 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Demetrios Soteropoulos

Title

President

Phone

(917) 921-3772

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1922353770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 24TH ST STE 242",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013553",
            "telephone_number": "718-606-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 24TH ST STE 242",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013553",
            "telephone_number": "718-606-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSO ORTHOTICS, CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "SOTEROPOULOS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-921-3772"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": "1437862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA LICENSE",
            "identifier": "1437862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaneel Lovera
• Ma Jo Anne Loverita
• Nathan John Lowry
• Gondina Loyola
• Mikaella Faith Loza
• Betty Lu, PHARM D
• Jerry Lu, PA-C
• Karissa Lucas, PHYSICIAN ASSISTANT
• Naomi Lucas
• Shine Lucas, REGISTERED NURSE

• Prosthetic/Orthotic Supplier in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.