Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1124464425 |
---|---|
Provider Name | Dr. Lynne Hodges |
First Address | Smithfield, VA 23430-1628 |
Second Address | Smithfield, VA 23430-1628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 14/05/2013 |