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Nancy D Lodge, MD
Pediatrics Physician in Fredericktown, Missouri
NPI 1104973858

Nancy D Lodge is a Pediatrics Physician based in Fredericktown, MO. Nancy D Lodge practices in Fredericktown, MO and has the professional credentials of MD. The NPI Number for Nancy D Lodge is 1104973858 and holds a License No. 31111 (Missouri).

The current practice location address for Nancy D Lodge is 611 W Main St, Fredericktown, MO and can be reached out via phone at 573-783-3341.

Location: 611 W Main St, Fredericktown, MO, 63645-1111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104973858
Provider Name
Nancy D Lodge
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
611 W Main St, Fredericktown, MO, 63645-1111
Phone Number
573-783-3341
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1Z9363 01 AZ HEALTHNET
4575331 01 AZ AETNA US HEALTHCARE
164351 05 AZ
AZ0729800 01 AZ BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
611 W Main St
City
Fredericktown
State
Missouri
Zip
63645-1111
Phone Number
573-783-3341
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Main St
City
Fredericktown
State
Missouri
Zip
63645-1111
Phone Number
573-783-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
31111 (Arizona)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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