STEPHANIE KATHRYN LODGE

MINNEAPOLIS, MN
NPI1235214172
Former NameSTEPHANIE KATHRYN IVANCA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  2252)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Mrs. STEPHANIE KATHRYN LODGE M.P.H.,R.D., L.D.
VETERANS ADMINISTRATION MEDICAL CENTER ONE VETERANS DRIVE
MINNEAPOLIS, MN 55417
Phone number: 612-725-2000
Mailing Address
Mrs. STEPHANIE KATHRYN LODGE M.P.H.,R.D., L.D.
44 MINNEAPOLIS AVE
DULUTH, MN 55803-2017
Phone number: 218-728-4824