Individual
DARIA LODL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 743-5855
Mailing address
6116 W 6TH AVE, LAKEWOOD, CO 80214-2320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41681
CO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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