Individual provider · Type 1 NPI
Lori Dodge, LMP
Specialist · Bremerton, WA
NPI number
1295809754
Active
Practice location
1736 NE Riddell Rd Ste 103
Bremerton, WA 98310-3685
Fax (360) 876-6083
Mailing address
PO Box 2501
Bremerton, WA 98310-0325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00015829 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1295809754
Lori Dodge, LMP's National Provider Identifier is 1295809754, issued on Nov 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bremerton, WA. The record was last updated on Jul 8, 2007.