Search › Minnesota › 1041C0700X
Jack Lofgren
NPI 1760269161 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4001 W 102nd St
Minneapolis, MN 55437 - Phone
- (320) 309-4694
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-04
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