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Individual

MICHAEL R LODES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3411 SILVERSIDE RD, HANBY BLDG, SUITE 102, WILMINGTON, DE 19810-4812
(302) 477-1565
Mailing address
3411 SILVERSIDE RD, HANBY BLDG, SUITE 102, WILMINGTON, DE 19810-4812
(302) 477-1565

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC003709L
PA
111N00000X
Chiropractor
Primary
F1-0000237
DE

Other

Enumeration date
04/25/2006
Last updated
07/08/2007
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