Lori L Sandberg
Pain Medicine
3475 Plymouth Blvd Ste 200
Plymouth
, Minnesota 55447-1539
Lori L Sandberg
Pain Medicine
3475 Plymouth Blvd Ste 200
Plymouth
, Minnesota 55447-1539
(651) 332-7490
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Lori L Sandberg
- 2550 University Ave W Suite 189s
- Saint Paul, MN
- Zip : 55114-1052
- Fax : (651) 332-7490
- Phone : (651) 332-7470
Second Address
- Lori L Sandberg
- 3475 Plymouth Blvd Ste 200
- Plymouth, MN
- Zip : 55447-1539
- Phone : (763) 577-2484
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 7024 | MN |
National Provider Identifier
| NPI | 1043409170 |
|---|---|
| Provider Name | Lori L Sandberg |
| First Address | Saint Paul, MN 55114-1052 |
| Second Address | Plymouth, MN 55447-1539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2007 |
| Last Update Date | 02/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27OL4BO | BLUE CROSS/BLUE SHIELF MN (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.