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Dr. Jennifer Marie Lidstrom, MS,DC,PC
Chiropractor in Cornelius, North Carolina
NPI 1073618708

Jennifer Marie Lidstrom is a Chiropractor based in Cornelius, NC. Jennifer Marie Lidstrom practices in Cornelius, NC and has the professional credentials of MS,DC,PC. The NPI Number for Jennifer Marie Lidstrom is 1073618708 and holds a License No. 3249 (North Carolina).

The current practice location address for Jennifer Marie Lidstrom is 19924 Jetton Rd, Cornelius, NC and can be reached out via phone at 704-876-8446 and via fax at 704-896-8495.

Location: 19924 Jetton Rd, Cornelius, NC, 28031-8250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073618708
Provider Name
Jennifer Marie Lidstrom
Credential
MS,DC,PC
Provider Entity Type
Individual
Gender
Female
Address
19924 Jetton Rd, Cornelius, NC, 28031-8250
Phone Number
704-876-8446
Fax Number
704-896-8495
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89085RN 05 NC
institution
Provider Business Practice Location Address Details
Address
19924 Jetton Rd
City
Cornelius
State
North Carolina
Zip
28031-8250
Phone Number
704-876-8446
Fax Number
704-896-8495
person
Provider Business Mailing Address Details
Address
19924 Jetton Rd
City
Cornelius
State
North Carolina
Zip
28031-8250
Phone Number
704-876-8446
Fax Number
704-896-8495
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3249 (North Carolina)
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.
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