DEBRA LODGE

WAVERLY, IA
NPI1619392438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A080874)
Enumeration Date2014-03-03
Last Update Date2015-10-09
Business Address
-- DEBRA LODGE
312 9TH ST SW
WAVERLY, IA 50677-2929
Phone number: 319-352-4340
Mailing Address
-- DEBRA LODGE
312 9TH ST SW
WAVERLY, IA 50677-2929
Phone number: 319-352-4340
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