Dr. Lorraine M Dodson, MD
Specialist in Maryville, Missouri
NPI 1619970761

Lorraine M Dodson is a Specialist based in Maryville, MO. Lorraine M Dodson practices in Maryville, MO and has the professional credentials of MD. The NPI Number for Lorraine M Dodson is 1619970761 and holds a License No. R5P04 (Missouri).

The current practice location address for Lorraine M Dodson is 2016 S Main St, Maryville, MO and can be reached out via phone at 660-562-7918 and via fax at660-562-7946. You can also correspond with Lorraine M Dodson through the mailing address at 2016 S MAIN ST, MARYVILLE, MO - 64468-2655 (mailing address contact number: 660-562-7918).

person
Provider Profile Details
NPI Number
1619970761
Provider Name
Lorraine M Dodson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2016 S Main St, Maryville, MO, 64468-2655
Phone Number
660-562-7918
Fax Number
660-562-7946
Provider Enumeration Date
05/23/2005
Last Update Date
07/31/2020
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Provider's Legacy Identifiers
Identifier Type State Issuer
203305917 05 MO
3920 01 MO BNDD
BF2856500 01 MO DEA
institution
Provider Business Practice Location Address Details
Address
2016 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-7918
Fax Number
660-562-7946
person
Provider Business Mailing Address Details
Address
2016 S Main St
City
Maryville
State
Missouri
Zip
64468-2655
Phone Number
660-562-7918
Fax Number
660-562-7946
person
Provider's Primary Taxonomy Details
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R5P04 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.