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Individual

DR. LORRAINE M DODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7918
(660) 562-7946
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7918
(660) 562-7946

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
R5P04
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
R5P04
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203305917
MO
01
3920
BNDD
MO
Enumeration date
05/23/2005
Last updated
03/07/2023
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