Lawsonia intracellularis is an obligate intracellular bacterium that cannot be cultured by conventional bacteriological methods. Pigs infected with L. intracellularis suffer from decreased daily weight gain and poor feed conversion ratio. China is a large producer of pigs, but epidemiological investigation data of L. intracellularis has not been obtained in recent years. Additionally, there is no information about a L. intracellularis strain being successfully isolated and established in cell culture in China, and the above shortcomings limit understanding of the pathogenesis of L. intracellularis and alternative prevention and control methods. The aims of this study were to estimate the seroprevalence of L. intracellularis antibodies in eight major pig-producing provinces in China during 2019–2020, to isolate L. intracellularis from infected intestines and then to establish an infection model of L. intracellularis in mice. Our results showed that of the 3586 serum samples, 2837 (79.1%, 95% CI: 77.7%, 80.4%) were seropositive for the L. intracellularis antibody. Subsequently, the L. intracellularis strain LJS19051 from China was successfully isolated and established in cell culture. Furthermore, L. intracellularis DNA and antibodies could be detected in the feces and serum samples of infected mice, respectively. Moreover, infected crypts showed typical proliferative enteropathies (PE) lesions and L. intracellularis antigen was detected in infected mice by immunofluorescence at 28 days post inoculation. The results indicated that the new L. intracellularis strain LJS19051 was obtained and could successfully proliferate in ICR mice.