NPI 1922145648
Lawrence C Sandberg, PT
Practice location
- Address
- 6308 8th Ave, Kenosha, WI 53143-5031
- Phone
- (262) 656-3290
- Mailing address
- 2123 Ramada Dr, Racine, WI 53406-2220
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1922145648
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.