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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043409170 NPPES
Minnesota Other 27OL4BO BLUE CROSS/BLUE SHIELF MN

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