Organization
LODI LIFESTYLE MEDICINE & SURGERY, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY CHANG MD (CEO)
(209) 986-0802
Entity
Organization
Contact information
Practice address
801 S HAM LN STE E, LODI, CA 95242-7502
(209) 333-1441
(209) 333-1476
Mailing address
801 S HAM LN STE E, LODI, CA 95242-7502
(209) 333-1441
(209) 333-1476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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