Individual
LORI B GOLZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-6113
(505) 609-6300
(505) 599-4636
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-6300
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
66942
NM
363LF0000X
Family Nurse Practitioner
Primary
66942
NM
Other
Enumeration date
04/18/2022
Last updated
06/25/2025
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