Individual
DR. MAURA J. LOFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACOG
Contact information
Practice address
555 E. BROADWAY AVE., SUITE #201, JACKSON, WY 83001-8640
(307) 734-1005
(307) 734-1165
Mailing address
PO BOX 1844, JACKSON, WY 83001-1844
(307) 734-1005
(307) 734-1165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5889A
WY
207VG0400X
Gynecology Physician
Primary
5889A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112421800
—
WY
05
—
805862900
—
ID
Enumeration date
05/16/2006
Last updated
05/14/2026
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