Provider Demographics
NPI:1225189483
Name:COLLINS, LORAINE ANN (CNM)
Entity type:Individual
Prefix:
First Name:LORAINE
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3011
Mailing Address - Country:US
Mailing Address - Phone:910-272-3051
Mailing Address - Fax:910-738-3764
Practice Address - Street 1:725 OAKRIDGE BLVD
Practice Address - Street 2:SUITE C-1
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2375
Practice Address - Country:US
Practice Address - Phone:910-608-3078
Practice Address - Fax:910-608-3079
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2025-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC96088367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMC0356546OtherDEA