Lori L Sandberg is a Pain Medicine in Plymouth, Minnesota. Lori L Sandberg practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Lori L Sandberg is 1043409170. The last update date is 2019-10-02.
Lori L Sandberg's current location address is 3475 Plymouth Blvd Ste 200, Plymouth, Minnesota. You can contact this provider via phone number 7635772484. The mailing address for Lori L Sandberg is 3475 Plymouth Blvd Ste 200, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori L Sandberg |
|---|---|
| Address | 3475 Plymouth Blvd Ste 200, Plymouth, Minnesota |
| Phone Number | 7635772484 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1043409170 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2019-10-02 |
Provider Mailing Address Detail
| Address | 3475 Plymouth Blvd Ste 200 |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554471539 |
| Phone Number | 7635772484 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 7024 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27OL4BO | MN | BLUE CROSS/BLUE SHIELF MN |
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What is the Lori L Sandberg's unique identification number?
The Lori L Sandberg has been assigned the NPI (National Provider Identifier) Number 1043409170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lori L Sandberg is physically located?
The Lori L Sandberg is situated at the following address: 3475 Plymouth Blvd Ste 200, Plymouth, MN 554471539.
What is Lori L Sandberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lori L Sandberg is Pain Medicine, and the corresponding taxonomy classification code for this specialized field is 2081P2900X.
On what date did the Lori L Sandberg receive the assignment of its 1043409170 from the Centers for Medicare & Medicaid Services?
The Lori L Sandberg was issued its 1043409170 by the Centers for Medicare & Medicaid Services on 2007-10-15.
When was the information pertaining to Lori L Sandberg most recently updated or revised?
The details related to Lori L Sandberg, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-02.