Lodi Lifestyle Medicine & Surgery
ActiveCalifornia license 561993
License
- Licensed by
- Medical Board of California
- License number
- 561993
- Status
- Active (Current)
- First issued
- June 25, 2026
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
801 S Ham Ln Ste E
Lodi, CA 95242-7502
Lodi, CA 95242-7502
San Joaquin County