Park, Lidia

Park, Lidia is an individual health care provider with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Park, Lidia can be contacted via phone (209) 334-3411.

Contact Information

Primary practice address
975 S Fairmont Ave Lodi CA 95240-5118
Phone: (209) 334-3411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 182789 California

Profile Details

NPI number 1851927867
LBN Legal business name Park, Lidia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2020
Last updated Jul 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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