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

Jack V, Lundbohm Inc

Organization Clinic/Center · NPI 1780822486

Jack V, Lundbohm Inc is a Clinic/Center in Roseau, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

317 2nd St NW Ste A
Roseau, MN 56751-1070
Phone: (218) 463-2992
Fax: (218) 463-1229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 1792 (MN)

Record details

NPI number1780822486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Lundbohm — President · (218) 463-2992
NPI enumeratedFebruary 3, 2009
Last updated in NPPESFebruary 3, 2009
Mailing address317 2nd St Nw, Suite A, Roseau, MN 56751-1070

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