Individual
DR. ELIZABETH L LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5420
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
299530
NY
208M00000X
Hospitalist Physician
299530
NY
Other
Enumeration date
04/15/2016
Last updated
05/14/2026
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