Active NPI
Lora Dolman
- Acute Care Clinical Nurse Specialist
- Antioch, IL
National Provider Identifier
1255211785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 209.032411
- Practice address
- 203 Forest CT
Antioch, IL 60002-1627 - Phone
- (603) 860-5574
- NPI assigned
- Sep 4, 2025
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 209.032411 | IL | Primary |
Addresses
Primary practice location
203 Forest CT
Antioch, IL 60002-1627
Mailing address
411 Walnut St # 21518
Green Cove Springs, FL 32043-3443
Phone (603) 860-5574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.032411 | IL | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1255211785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WALNUT ST # 21518",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320433443",
"telephone_number": "603-860-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 FOREST CT",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021627",
"telephone_number": "603-860-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLMAN",
"first_name": "LORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "IL",
"license": "209.032411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, IL
- Dental Professionals of Illinois, P.C (Redwing Dental Care)
- John J Devaney Jr., MD
- Mia Monique Diaz
- Mekson H Din
- Alexandra J Dollinger, M.A., CCC, SLP/L
- Donald L Bennett, D.D.S., P.C. (Antioch Dental Center)
- Grace Victoria Dorog, RPT
- DPT Holdings LLC (Doctors of Physical Therapy)
- Heidi Michelle Droessler, LSW
- Dana Dunleavy, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.