person
Ms. Carol Lynn Lidstrom, PA-C
Medical Physician Assistant in Detroit, Michigan
NPI 1700192424

Carol Lynn Lidstrom is a Medical Physician Assistant based in Wayne, MI and is specialized in Medical. Carol Lynn Lidstrom practices in Detroit, MI and has the professional credentials of PA-C. The NPI Number for Carol Lynn Lidstrom is 1700192424 and holds a License No. 5601002244 (Michigan).

The current practice location address for Carol Lynn Lidstrom is 1 Ford Pl, Detroit, MI and can be reached out via phone at 313-937-3049.

Location: 1 Ford Pl, Detroit, MI, 48184-1220
person
Provider Profile Details
NPI Number
1700192424
Provider Name
Carol Lynn Lidstrom
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Ford Pl, Detroit, MI, 48184-1220
Phone Number
313-937-3049
Fax Number
Provider Enumeration Date
08/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Ford Pl
City
State
Zip
48202-3450
Phone Number
313-937-3049
Fax Number
person
Provider Business Mailing Address Details
Address
1 Ford Pl
City
State
Zip
48202-3450
Phone Number
313-937-3049
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601002244 (Michigan)
Definition
Definition to come...
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