Provider Demographics
NPI:1912906967
Name:FRANZONI, DORA R (MD)
Entity Type:Individual
Prefix:DR
First Name:DORA
Middle Name:R
Last Name:FRANZONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 N ELM ST
Mailing Address - Street 2:P O BOX 2370
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2982
Mailing Address - Country:US
Mailing Address - Phone:910-738-8154
Mailing Address - Fax:910-671-8818
Practice Address - Street 1:2905 N ELM ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2982
Practice Address - Country:US
Practice Address - Phone:910-738-8154
Practice Address - Fax:910-671-8818
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400495174400000X, 207L00000X
NC94-00495207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00183172OtherMEDICARE ID - RAILROAD
NC33717OtherBCBS/STATE
NC8933717Medicaid
SCN00498Medicaid
NC8933717Medicaid
NCP00183172OtherMEDICARE ID - RAILROAD