Search › Minnesota › 111N00000X
Jack Lundbohm
NPI 1275632234 · on the registry since 2006
Practice
- Address
- 317 2nd St Nw Ste A
Roseau, MN 56751 - Phone
- (218) 463-2992
- Fax
- (218) 463-1229
- Organisation at this address
- Jack V, Lundbohm Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota