Nancy D Lodge, MD

NPI #1104973858 in Fredericktown, Missouri

Provider Information

NPI Number: 1104973858
Entity Type: Individual
Name: Nancy D Lodge, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jan 4, 2007
Last Updated: Jun 5, 2015

Practice Location

Address: 611 W MAIN ST
City: Fredericktown
State: Missouri
ZIP Code: 63645-1111
Phone: (573) 783-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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