| NPI | 1225285695 |
|---|---|
| Doing Business As | LODI MEMORIAL COMMUNITY CLINIC - VINE |
| Entity Type | Organization |
| Authorized Contact | JASON WHITNEY Finance Officer 209-339-7477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 550001051) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-01-06 |