Individual
DOROTHY C LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(250) 939-7143
Mailing address
PO BOX 1123, JACKSON, MI 49204-1123
(800) 242-1131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-080810
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557417
—
AL
01
—
51533212
BCBS #
AL
Enumeration date
07/09/2006
Last updated
12/28/2011
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