Individual
LORI GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-4999
Mailing address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-4999
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
108
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160242000
—
WV
Enumeration date
06/08/2005
Last updated
07/08/2007
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