Individual
MS. KARLA MAARIT LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
LOYAL SOURCE GOVERNMENT SERVICES, 12612 CHALLENGER PKWY #365, ORLANDO, FL 32826
(407) 306-8441
(888) 316-1686
Mailing address
PO BOX 2527, SCOTTSDALE, AZ 85252-2527
(602) 703-3197
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2427
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688103
—
AZ
Enumeration date
05/22/2008
Last updated
02/09/2026
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