Individual provider · Type 1 NPI

Patty J. Lodge, PA-C

Medical Physician Assistant · Lake Mary, FL

NPI number 1184664583 Active

Practice location

755 Rinehart Rd, Suite 100
Lake Mary, FL 32746-4874

Call (407) 333-1550 Map

Fax (407) 333-3081

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1939 (FL)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1184664583

Patty J. Lodge, PA-C's National Provider Identifier is 1184664583, issued on Jun 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Mary, FL. The record was last updated on Jun 13, 2014.