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1497748354
LARRY L LODGE
VOORHEES, NJ
NPI
1497748354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NJ 25MD002054)
Enumeration Date
2005-08-25
Last Update Date
2010-02-25
Business Address
Dr. LARRY L LODGE D.P.M.
200 ROUTE 73 STE 3
VOORHEES, NJ 08043-9542
Phone number: 856-753-1300
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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
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