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

Lidia Park

Individual provider Pediatrics Physician · NPI 1851927867

Lidia Park is a Pediatrics Physician in Lodi, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 334-3411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 182789 (CA)

Record details

NPI number1851927867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address3819 Roseparke Way, Sacramento, CA 95834-2083

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