Individual
LONNIE WAYNE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(800) 296-2611
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(800) 296-2611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9299576
FL
Other
Enumeration date
04/30/2008
Last updated
12/14/2022
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