Dora Connelly Loflin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

400039 Issued in NC

Practice address

4705 Southport Supply Rd SE
Southport, NC 28461-9074

Phone

(910) 457-6044

Fax

(910) 457-5220

NPI assigned

Feb 26, 2010

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1245552595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 SOUTHPORT SUPPLY ROAD",
            "address_2": "NEW HOPE CLINIC",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "248613914",
            "telephone_number": "910-457-6044",
            "fax_number": "910-457-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 SOUTHPORT SUPPLY RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619074",
            "telephone_number": "910-457-6044",
            "fax_number": "910-457-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFLIN",
        "first_name": "DORA",
        "middle_name": "CONNELLY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "400039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jon Lescault, DO
• Amanda Lewis
• Liberty Healthcare Group LLC (Liberty Commons Nursing & Rehabilitation Center of Southport, LLC)
• Liberty Healthcare Group, LLC (Southport Nursing Center)
• Debora Pyne Lipsen, P.T.
• Dennis Long
• LTK LLC (101 Mobility)
• Matthew Justin Lucas, NP-C, DNP
• Scott A. Lutz, PT
• David Mabry, MA, LPC

• Family Nurse Practitioner in Southport, NC
• Providers in Southport, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.