Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra Lodge

Individual provider Physician Assistant · NPI 1417924499

Sandra Lodge is a Physician Assistant in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003636 (MI)

Record details

NPI number1417924499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESOctober 23, 2017
Mailing address3601 W 13 Mile Rd, 400-Fsc/Pcs, Royal Oak, MI 48073-6712

Other providers in Troy