Lodge, M

Lodge, M is an individual health care provider with primary practice located at 1217 Curry Rd , Rotterdam NY 12306-3707. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Lodge, M can be contacted via phone (518) 355-0043.

Contact Information

Primary practice address
1217 Curry Rd Rotterdam NY 12306-3707
Phone: (518) 355-0043
Fax: (518) 355-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC005680 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 006165 New York

Profile Details

NPI number 1568470508
LBN Legal business name Lodge, M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 30th, 2009 - about 15 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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