Jennifer M Lidstrom (NPI# 1073618708, PAC ID# 1759356991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1073618708 |
| PAC ID by PECOS | 1759356991 |
| Professional Enrollment ID | I20040831000820 |
| Full Name | Jennifer M Lidstrom |
| Organization Legal Name | JENNIFER LIDSTROM MS DC PC |
| Address |
19924 Jetton Rd Suite 101 Cornelius NC 28031-8253 |
| Phone Number | 7048968446 |
| Gender | F |
| Credential | DC |
| Graduation Year | 2002 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8921012709 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8253 | 7048968446 | JENNIFER LIDSTROM MS DC PC |
| Organization Legal Name | JENNIFER LIDSTROM MS DC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis Alejandro Rosado | Chiropractic | Jennifer Lidstrom Ms Dc PC | 19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8253 |
| Street Address |
19924 JETTON RD SUITE 101 |
| City | CORNELIUS |
| State | NC |
| Zip | 28031-8253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis Alejandro Rosado | Chiropractic | Jennifer Lidstrom Ms Dc PC | 19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol E Armstrong | Psychologist, Clinical | 8211 Village Harbor Dr, Cornelius, NC 28031-3706 | |
| Philip J Deluca | Clinical Social Worker | Counseling Associates At The Lake Inc | 19501 W Catawba Ave, Mailbox 10, Cornelius, NC 28031-4017 |
| Michelle L Smith | Clinical Social Worker | Counseling Associates At The Lake Inc | 19501 W Catawba Ave, Mailbox 10, Cornelius, NC 28031-4017 |
| Lindsey B Mashburn | Obstetrics/gynecology | 19453 W Catawba Ave, Suite A, Cornelius, NC 28031-4022 | |
| John J Cipriani | Chiropractic | 19607 W Catawba Ave, Suite 104, Cornelius, NC 28031-4026 | |
| Steven D Friedman | Optometry | Myeyedr Optometry of North Carolina Pllc | 19900 W Catawba Ave, Cornelius, NC 28031-4032 |
| Donald D Fraser | Dermatology | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
| Darrell Freeman | Plastic and Reconstructive Surgery | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
| Jessica J Curtis-yount | Physician Assistant | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
| Kylee N Sacksteder | Dermatology | Piedmont Plastic Surgery and Dermatology Pa | 19900 W Catawba Ave, Suite B, Cornelius, NC 28031-4032 |
| Find all physicians in zip 28031 | |||
| City | CORNELIUS |
| Zip Code | 28031 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CORNELIUS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jennifer M Lidstrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.