DR. Frederick A Lodge, M.D.

NPI #1790770428 in Ukiah, California

Provider Information

NPI Number: 1790770428
Entity Type: Individual
Name: DR. Frederick A Lodge, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Sep 19, 2005
Last Updated: Jul 30, 2010

Practice Location

Address: 580 N SPRING ST
City: Ukiah
State: California
ZIP Code: 95482-4251
Phone: (707) 468-5015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Anesthesiology	207L00000X	Primary

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