MRS. Patty J Lodge, PA-C

NPI #1184664583 in Lake Mary, Florida

Provider Information

NPI Number
1184664583
Entity Type
Individual
Name
MRS. Patty J Lodge, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 7, 2006
Last Updated
Jun 13, 2014

Practice Location

Address
755 RINEHART RD
Address 2
SUITE 100
State
Florida
ZIP Code
32746-4874
Phone
(407) 333-1550

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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