LARRY L LODGE

VOORHEES, NJ
NPI1497748354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: NJ  25MD002054)
Enumeration Date2005-08-25
Last Update Date2010-02-25
Business Address
Dr. LARRY L LODGE D.P.M.
200 ROUTE 73 STE 3
VOORHEES, NJ 08043-9542
Phone number: 856-753-1300
Mailing Address
Dr. LARRY L LODGE D.P.M.
200 B ROUTE 73, SUITE 3 GARDEN STATE FOOT CARE
VOORHEES, NJ 08043-9542
Phone number: 856-753-1300