Provider Demographics
NPI:1811534571
Name:SAND, LUKAS JOHN (DPT, MS, ATC)
Entity type:Individual
Prefix:DR
First Name:LUKAS
Middle Name:JOHN
Last Name:SAND
Suffix:
Gender:M
Credentials:DPT, MS, ATC
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Mailing Address - Street 1:8220 UNIVERSITY EXEC PARK DR STE 140
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1304
Mailing Address - Country:US
Mailing Address - Phone:704-547-1129
Mailing Address - Fax:704-547-9056
Practice Address - Street 1:8220 UNIVERSITY EXEC PARK DR STE 140
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1304
Practice Address - Country:US
Practice Address - Phone:704-547-1129
Practice Address - Fax:704-547-9056
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNP192102251G0304X
NCP192102251N0400X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports