NANCY LODGE, MD

Pediatrics

Active Individual
NPI: 1104973858

Practice Address

611 W MAIN ST
Fredericktown, MO 63645

Phone: (573) 783-3341

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 31111 (AZ)

Frequently Asked Questions

NPI 1104973858 is the National Provider Identifier for NANCY LODGE, MD, a Pediatrics provider located in Fredericktown, MO. This NPI was enumerated on January 4, 2007.
NANCY LODGE, MD practices at 611 W MAIN ST, Fredericktown, MO 63645.

Quick Facts

NPI
1104973858
Type
Individual
Enumerated
Jan 4, 2007
Last Updated
Jun 5, 2015

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