Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Lofgren LLC

Organization Community/Behavioral Health Agency · NPI 1194506931

Jack Lofgren LLC is a Community/Behavioral Health Agency in Minneapolis, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4346 5th Ave S
Minneapolis, MN 55409-2122
Phone: (320) 309-4694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1194506931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Lofgren — Owner · (320) 309-4694
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address4346 5th Ave S, Minneapolis, MN 55409-2122

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