Individual
LORI P TOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2015-0833
NM
207R00000X
Internal Medicine Physician
TD00000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37832832
—
NM
Enumeration date
10/04/2006
Last updated
11/14/2016
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