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Physicians Pathology Anatomic Pathology & Clinical Pathology

Provider NPI: 1558339119

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 209-339-7585  Fax: 209-367-1575

Business Mailing Address:
PO BOX 2390  LODI, CA 95241-2390 US
Tel: 408-891-0837  Fax: 209-367-1575

NPI Information:
NPI: 1558339119
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Anatomic Pathology & Clinical Pathology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0102X





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