Individual
STEPHENIE M LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CPHQ
Contact information
Practice address
525 FLOYD ST, LEWISBURG, OH 45338-9573
(937) 510-6433
Mailing address
525 FLOYD ST, LEWISBURG, OH 45338-9573
(937) 510-6433
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN.338112
OH
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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