Individual
MS. AUTUMN LODGE-DUVERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N DUPONT HWY # 307, DOVER, DE 19901-2202
(302) 736-2365
Mailing address
1200 N DUPONT HWY # 307, DOVER, DE 19901-2202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
DE
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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