Healthcare Provider Details

I. General information

NPI: 1558055541
Provider Name (Legal Business Name): DURGA LOHANA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 27TH ST
LUMBERTON NC
28358-3018
US

IV. Provider business mailing address

300 W 27TH ST
LUMBERTON NC
28358-3075
US

V. Phone/Fax

Practice location:
  • Phone: 910-735-7551
  • Fax:
Mailing address:
  • Phone: 910-671-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2025-04229
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: