Sandberg, Lori L
Sandberg, Lori L is an individual health care provider with primary practice located at 3475 Plymouth Blvd Ste 200 , Plymouth MN 55447-1539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Sandberg, Lori L can be contacted via phone (763) 577-2484.Contact Information
Primary practice address
3475 Plymouth Blvd Ste 200
Plymouth MN 55447-1539
Phone: (763) 577-2484
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 7024 | Minnesota |
Profile Details
NPI number | 1043409170 |
---|---|
LBN Legal business name | Sandberg, Lori L |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2007 |
Last updated | Jul 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043409170 | NPPES |
Minnesota | Other | 27OL4BO | BLUE CROSS/BLUE SHIELF MN |
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