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Jennifer Lidstrom Ms Dc Pc
Multi-Specialty Clinic/Center in Cornelius, North Carolina
NPI 1033125240

Jennifer Lidstrom Ms Dc Pc is a Multi-Specialty Clinic/Center based in Cornelius, NC and is specialized in Multi-Specialty. Jennifer Lidstrom Ms Dc Pc practices in Cornelius, NC. The NPI Number for Jennifer Lidstrom Ms Dc Pc is 1033125240 and holds a License No. 3249 (North Carolina).

The current practice location address for Jennifer Lidstrom Ms Dc Pc is 19924 Jetton Rd Ste 101, Cornelius, NC and can be reached out via phone at 704-896-8446 and via fax at 704-896-8495.

Location: 19924 Jetton Rd Ste 101, Cornelius, NC, 28031-8253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033125240
Provider Name
Jennifer Lidstrom Ms Dc Pc
Credential
Provider Entity Type
Organization
Address
19924 Jetton Rd Ste 101, Cornelius, NC, 28031-8253
Phone Number
704-896-8446
Fax Number
704-896-8495
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
89085RM 05 NC
institution
Provider Business Practice Location Address Details
Address
19924 Jetton Rd Ste 101
City
Cornelius
State
North Carolina
Zip
28031-8253
Phone Number
704-896-8446
Fax Number
704-896-8495
person
Provider Business Mailing Address Details
Address
19924 Jetton Rd Ste 101
City
Cornelius
State
North Carolina
Zip
28031-8253
Phone Number
704-896-8446
Fax Number
704-896-8495
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
3249 (North Carolina)
Definition
Definition to come...
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