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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA J RACKLEY, M.D.

Active

SANDRA J RACKLEY, M.D. is a Psychiatric Neurology healthcare provider located in LAKEVILLE, Minnesota. NPI 1710967625 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · LAKEVILLE, MN

Registration Details

NPI Number
1710967625
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2006 (20.6012988143 yrs)
Last Updated
Feb 28, 2025
Licenses
48197 (MN)
48197 (MN)

Practice Information

Address
18432 KENRICK AVE
LAKEVILLE, MN, 550449288
Browse MN providers · Browse ZIP 55044
Phone
9529926750
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.