NPI | 1306855523 |
---|---|
Doing Business As | LODI MEMORIAL PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | JASON WHITNEY Finance Officer 209-339-7477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 030000056) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2022-01-06 |