Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lodi Lifestyle Medicine & Surgery, Professional Corporation

Organization Surgery Physician · NPI 1255160719

Lodi Lifestyle Medicine & Surgery, Professional Corporation is a Surgery Physician in Lodi, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

801 S Ham Ln Ste E
Lodi, CA 95242-7502
Phone: (209) 333-1441
Fax: (209) 333-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1255160719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Chang — Ceo · (209) 986-0802
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address801 S Ham Ln Ste E, Lodi, CA 95242-7502

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