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Medicl Facility ID: 16175056281502568915

Facility Business Name: DAVITA LODI DIALYSIS CENTER ( LODI, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id16175056281502568915
Facility NameDAVITA LODI DIALYSIS CENTER
Address Line1610 WEST KETTLEMAN LANE, SUITE D
CityLODI
StateCA
Zip95242
CountySan Joaquin
Phone209-334-9888
TypeDialysis Facility
Provider Id052753