Lodge, Patty J

Lodge, Patty J is an individual health care provider with primary practice located at 755 Rinehart Rd Suite 100, Lake Mary FL 32746-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lodge, Patty J can be contacted via phone (407) 333-1550.

Contact Information

Primary practice address
755 Rinehart Rd Suite 100 Lake Mary FL 32746-4874
Phone: (407) 333-1550
Fax: (407) 333-3081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1939 Florida

Profile Details

NPI number 1184664583
LBN Legal business name Lodge, Patty J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 13th, 2014 - about 12 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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