=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174585079
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LLOYD-SILBER PROSTHETICS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2006
-----------------------------------------------------
Last Update Date | 07/25/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 W JAMES ST SUITE 101
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17603-2979
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-676-7846
-----------------------------------------------------
Fax | 717-852-0868
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1590 RODNEY RD
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17408-9715
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-676-7846
-----------------------------------------------------
Fax | 717-852-0868
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | MR. STEPHEN JOHN YOHE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 717-718-7405
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 6000005540
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------