Heidi L Lodge, MD

NPI #1669426144 in Douglas, Arizona

Provider Information

NPI Number: 1669426144
Entity Type: Individual
Name: Heidi L Lodge, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 20, 2006
Last Updated: Aug 12, 2022

Practice Location

Address: 100 E 5TH ST
Address 2: STE 350
City: Douglas
State: Arizona
ZIP Code: 85607-2859
Phone: (520) 364-7659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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