Individual
FELICITY ANNE LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHARLES ST S UNIT 1210, BOSTON, MA 02116-5456
(646) 977-1137
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(646) 977-1137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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