Individual
RONNA F LODATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4768
(314) 525-4354
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
111637
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
111637
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203988100
—
MO
01
—
220027910
MEDICARE RAILROAD
MO
Enumeration date
10/06/2005
Last updated
09/24/2014
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