Dodson, Lorraine M
Dodson, Lorraine M is an individual health care provider with primary practice located at 2016 S Main St , Maryville MO 64468-2655. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Dodson, Lorraine M can be contacted via phone (660) 562-7918.Contact Information
Primary practice address
2016 S Main St
Maryville MO 64468-2655
Phone: (660) 562-7918
Fax: (660) 562-7946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R5P04 | Missouri |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R5P04 | Missouri |
Profile Details
| NPI number | 1619970761 |
|---|---|
| LBN Legal business name | Dodson, Lorraine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619970761 | NPPES |
| Missouri | Other | 3920 | BNDD |
| Missouri | MEDICAID | 203305917 | BNDD |
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