Lodi Memorial Hospital Association, Inc.

Specialty details in registry · Lodi, CA

Call (209) 334-8540 Directions

At a glance

1901 W Kettleman Lane, Lodi, CA 95242-4337

NPPES record updated Jan 6, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1901 W Kettleman Lane Suite 200
Lodi, CA 95242-4337
Professional details: NPI, taxonomy & registry record
NPI1760620330
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2300X
Enumeration date
Feb 4, 2009
Record updated
Jan 6, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QP2300X

Specialty details in registry

261QP2300X · Primary

License reported: 550001052 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1901 W Kettleman Lane
Suite 200
Lodi, CA 95242-4337
Phone
(209) 334-8540
Fax
(209) 339-7659
Mailing address
PO BOX 884577

LOS ANGELES, CA 900884577
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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