Provider Demographics
NPI:1114988730
Name:LOFTON, SHERI A (MD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:A
Last Name:LOFTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:A
Other - Last Name:JUNGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6355 WALKER LN STE 500
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3251
Mailing Address - Country:US
Mailing Address - Phone:703-373-3718
Mailing Address - Fax:703-822-2190
Practice Address - Street 1:6355 WALKER LN STE 500
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3251
Practice Address - Country:US
Practice Address - Phone:703-373-3718
Practice Address - Fax:703-822-2190
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37027207Q00000X
WI33525207Q00000X
VA0101255504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F77992Medicare UPIN
MN080020912Medicare PIN