Nancy D Lodge, MD
Nancy D Lodge, MD is a Pediatric Medicine in Fredericktown, Missouri. Graduated from Eastern Virginia Medical School in 1990, 36 years ago. Practices with Madison Medical Center Stockhoff Memorial Nursing Home, a 21-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 36
- Trained at
- Eastern Virginia Medical School
- Licensed in
- AZ
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
611 W Main StFredericktown, MO 63645-1111
Phone: (573) 783-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 31111 (AZ) |
|---|
Record details
| NPI number | 1104973858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | June 5, 2015 |
| Mailing address | 611 W Main St, Fredericktown, MO 63645-1111 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduated | 1990 (36 years in practice) |
| Group practice | Madison Medical Center Stockhoff Memorial Nursing Home — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |