| NPI | 1861649352 |
|---|---|
| Doing Business As | LODI MEMORIAL COMMUNITY CLINIC - IRIS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH P HARRINGTON Chief Executive Officer & President 209-334-3411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 550000838) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-01-07 |