Basic Information
Provider Information
NPI: 1376749754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOFT
FirstName: LORREL
MiddleName: ELIZABETH BROWN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1155 MILL ST # W11
Address2:  
City: RENO
State: NV
PostalCode: 895021576
CountryCode: US
TelephoneNumber: 7753275174
FaxNumber:  
Practice Location
Address1: 1470 MEDICAL PKWY STE 160
Address2:  
City: CARSON CITY
State: NV
PostalCode: 897034636
CountryCode: US
TelephoneNumber: 7754457637
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2007
LastUpdateDate: 07/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X19008NVY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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