Individual
DONNA LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
530 W FIR ST STE 1A, SEQUIM, WA 98382-3284
(360) 681-2220
(360) 681-5267
Mailing address
530 W FIR ST STE 1A, SEQUIM, WA 98382-3284
(360) 681-2220
(360) 681-5267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008541
—
IL
01
—
042965
HEALTH ALLIANCE
IL
01
—
09822654
BLUE CROSS BLUE SHIELD
IL
01
—
285586
PERSONAL CARE
IL
01
—
P00173887
MEDICARE RAILROAD
IL
Enumeration date
06/09/2006
Last updated
10/21/2023
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