Individual
JEFFREY DONN LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.089921
OH
2084P0800X
Psychiatry Physician
Primary
35089921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314561
—
OH
Enumeration date
07/12/2007
Last updated
03/30/2009
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