Individual
DR. JULIAN DALE LODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 840-2131
(662) 840-2522
Mailing address
1265 CLIFF GOOKIN BOULEVARD, TUPELO, MS 38801-6749
(662) 840-2131
(662) 840-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13898
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116544
—
MS
Enumeration date
05/25/2006
Last updated
12/22/2011
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