Individual provider · Type 1 NPI

Danielle Nicole Lodge

Medical Physician Assistant · Bedford, VA

NPI number 1699626515 Active

Practice location

582 Blue Ridge Ave
Bedford, VA 24523-2604

Call (540) 425-7910 Map

Mailing address

134 Elon Rd
Madison Heights, VA 24572-2536

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110011717 (VA)

Medical Physician Assistant: Definition to come...

8 other providers at this address

About NPI 1699626515

Danielle Nicole Lodge's National Provider Identifier is 1699626515, issued on Feb 6, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bedford, VA. The record was last updated on Sep 29, 2026.