Dr KELLY JAN LODGEN is a female medical professional, specializing in Family Medicine. She graduated in 2015 from Louisiana State University School Of Medicine In Shreveport.
WINNSBORO MEDICAL CLINIC
3326 FRONT ST B
WINNSBORO
LA
712956487
Tel: 3184357333
| Npi | 1912385527 |
| Pac Id | 2961716477 |
| Professional Enrollment Id | I20180813003313 |
| Last Name | LODGEN |
| First Name | KELLY |
| Middle Name | JAN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | WINNSBORO MEDICAL CLINIC |
| Group Practice Pac Id | 4183511017 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 3326 FRONT ST B |
| Line 2 Street Address | |
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| City | WINNSBORO |
| State | LA |
| Zip Code | 712956487 |
| Phone Number | 3184357333 |
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| Professional Accepts Medicare Assignment | Y |
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