Individual
DR. LISA GAYE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
609 RIDGE RD, MUNSTER, IN 46321-1609
(219) 836-3952
(219) 836-3054
Mailing address
609 RIDGE RD, MUNSTER, IN 46321-1609
(219) 836-3952
(219) 836-3054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001421A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004656508
—
IN
Enumeration date
03/29/2007
Last updated
11/01/2007
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