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Lori Dodge, LMP

Specialist in Bremerton, WA. Individual provider (NPI-1).

NPI number1295809754
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295809754
Entity type
Individual (NPI-1)
Name
Lori Dodge
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA00015829WAYes

Practice location

1736 Ne Riddell Rd Ste 103
Bremerton, WA 98310-3685

Phone 360-509-5800 · Fax 360-876-6083

Mailing address

Po Box 2501
Bremerton, WA 98310-0325

Phone 360-509-5800 · Fax 360-876-6083

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