Individual
MRS. STEPHANIE KATHRYN LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H.,R.D., L.D.
Contact information
Practice address
VETERANS ADMINISTRATION MEDICAL CENTER, ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417
(612) 725-2000
Mailing address
44 MINNEAPOLIS AVE, DULUTH, MN 55803-2017
(218) 728-4824
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2252
MN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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