Individual provider · Type 1 NPI

Mykenzie Lauren Mattheis, DO

Obstetrics & Gynecology Physician · Lodi, CA

NPI number 1992266464 Active

Practice location

999 S Fairmont Ave Ste 200
Lodi, CA 95240-5141

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X20A21012 (CA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1992266464

Mykenzie Lauren Mattheis, DO's National Provider Identifier is 1992266464, issued on Mar 27, 2019. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lodi, CA. The record was last updated on Sep 8, 2025.