Individual
CASEY LEWANDOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
14050 FAIRVIEW DR FL 1, BURNSVILLE, MN 55337-5713
(952) 831-9742
Mailing address
13055 DAHLIA CIR APT 218, EDEN PRAIRIE, MN 55344-7638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3137
MN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/21/2018
Last updated
09/09/2020
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