Individual
LORRAINE LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 POT SPRING RD, LUTHERVILLE, MD 21093-4445
(410) 583-5765
Mailing address
2211 EASTRIDGE RD, TIMONIUM, MD 21093-3338
(410) 252-6772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01998
MD
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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