Paula D. Lodge

NPI #1245250166 in Bloomington, Illinois

Provider Information

NPI Number: 1245250166
Entity Type: Individual
Name: Paula D. Lodge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 202 E LOCUST ST
City: Bloomington
State: Illinois
ZIP Code: 61701-3006
Phone: (309) 268-3529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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