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1306003678
KARLA M LODGE
PHOENIX, AZ
NPI
1306003678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 2427)
Enumeration Date
2008-05-22
Last Update Date
2021-01-29
Business Address
KARLA M LODGE PA-C
2640 W BASELINE RD STE 111
PHOENIX, AZ 85041-6492
Phone number: 480-677-8282
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Mailing Address
KARLA M LODGE PA-C
PO BOX 2527
SCOTTSDALE, AZ 85252-2527
Phone number: 602-703-3197
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