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1184664583
PATTY J LODGE
LAKE MARY, FL
NPI
1184664583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA1939)
Enumeration Date
2006-06-07
Last Update Date
2014-06-13
Business Address
Mrs. PATTY J LODGE PA-C
755 RINEHART RD SUITE 100
LAKE MARY, FL 32746-4874
Phone number: 407-333-1550
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Mailing Address
Mrs. PATTY J LODGE PA-C
755 RINEHART RD SUITE 100
LAKE MARY, FL 32746-4874
Phone number: 407-333-1550
Copy
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