Individual
MR. EDWARD RAY LOBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, CNS, APRN BC
Contact information
Practice address
7 CALIENTE RD UNIT B1, SANTA FE, NM 87508-3104
(505) 216-7772
(505) 557-6699
Mailing address
7 CALIENTE RD UNIT B1, SANTA FE, NM 87508-3104
(505) 216-7772
(505) 557-6699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R45675
NM
Other
Enumeration date
07/24/2006
Last updated
10/16/2018
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