Lodge, Lori

Lodge, Lori is an sole proprietor health care provider with primary practice located at 2971 E Copper Point Dr Suite 100, Meridian ID 83642-5101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lodge, Lori can be contacted via phone (208) 376-5683.

Contact Information

Primary practice address
2971 E Copper Point Dr Suite 100 Meridian ID 83642-5101
Phone: (208) 376-5683
Fax: (208) 376-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2907 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2929 Idaho

Profile Details

NPI number 1508008871
LBN Legal business name Lodge, Lori
Credentials LCPC LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2009
Last updated Apr 1st, 2009 - about 16 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.

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