Provider Demographics
NPI:1962464693
Name:LOFNESS, JULIA K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:K
Last Name:LOFNESS
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:MR 10809
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-0043
Mailing Address - Country:US
Mailing Address - Phone:612-262-4813
Mailing Address - Fax:612-262-4194
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 300
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2606
Practice Address - Country:US
Practice Address - Phone:612-333-8883
Practice Address - Fax:612-317-6686
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2016-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNLP3389103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN406013000Medicaid
MN406013000Medicaid
OTH000Medicare UPIN