| Doctor Name: | MS. KAREN A LODGE |
| NPI Number: | 1699923219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP005181C |
| Business Practice Address: | 8200 Flourtown Ave Suite 2 Wyndmoor, PA - 190387976 |
| Business Phone Number: | 2153411777 |
| Business Fax Number: | |
| Mailing Address: | 8200 Flourtown Ave, Suite 2 WYNDMOOR |
| State: | PA |
| Postal Code: | 190387976 |
| Phone Number: | 2153411777 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 09/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | SP005181C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |