Individual
MS. KAREN A LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8200 FLOURTOWN AVE, SUITE 2, WYNDMOOR, PA 19038-7976
(215) 341-1777
Mailing address
1 BARTOL AVE, STE 14, RIDLEY PARK, PA 19078-2214
(215) 341-1777
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP005181C
PA
Other
Enumeration date
09/08/2008
Last updated
09/19/2016
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