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Individual

LORI L SANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
Mailing address
3475 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1539
(763) 577-2484
(763) 577-1375

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7024
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27OL4BO
BLUE CROSS/BLUE SHIELF MN
MN
Enumeration date
10/15/2007
Last updated
07/17/2024
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